Kaytlin Hanson, | |
1500 Curve Crest Blvd W, Stillwater, MN 55082-6040 | |
(651) 439-1234 | |
Not Available |
Full Name | Kaytlin Hanson |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 1500 Curve Crest Blvd W, Stillwater, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689232183 | NPI | - | NPPES |
10262 | Other | MN | SLP TEMPORARY LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 10262 (Minnesota) | Primary |
Provider Name | Group Health Plan Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
Mailing Address | Practice Location Address |
---|---|
Kaytlin Hanson, Po Box 1309, Minneapolis, MN 55440-1309 Ph: () - | Kaytlin Hanson, 1500 Curve Crest Blvd W, Stillwater, MN 55082-6040 Ph: (651) 439-1234 |
Ms. Lori Jean Griffith Olson, MS/CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1421 Trotter Ct, Stillwater, MN 55082 Phone: 651-430-2482 | |
Mrs. Rachel Marshall, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1119 Owens St N, Stillwater, MN 55082 Phone: 651-439-7180 | |
Mara Logerquist, M.S., CF-SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 1500 Curve Crest Blvd W, Stillwater, MN 55082 Phone: 651-439-1234 Fax: 651-275-3325 | |
Kelly J Lessman, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1460 Curve Crest Blvd W, Stillwater, MN 55082 Phone: 651-439-8283 Fax: 651-439-0576 | |
Jerene Leferink, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1460 Curve Crest Blvd W, Stillwater, MN 55082 Phone: 651-439-8283 Fax: 651-439-0576 | |
Michele M Dorenkamp, SLP-CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1460 Curve Crest Blvd W, Stillwater, MN 55082 Phone: 651-439-8283 Fax: 651-439-0576 | |
Erika Olson, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1460 Curve Crest Blvd W, Stillwater, MN 55082 Phone: 651-439-8283 Fax: 651-439-0576 |