| Michelle Lage, MS, CCC-SLP | |
|
1406 6th Ave N, Saint Cloud, MN 56303-1901 | |
| (320) 251-2700 | |
| (320) 656-7115 |
| Full Name | Michelle Lage |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 1406 6th Ave N, Saint Cloud, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720584089 | NPI | - | NPPES |
| 41-0695596 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 5971 (Minnesota) | Primary |
| Provider Name | Centracare Clinic |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
| Provider Name | St Cloud Hospital |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1043269798 PECOS PAC ID: 4880594779 Enrollment ID: O20110221000134 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Lage, MS, CCC-SLP 1406 6th Ave N, Saint Cloud, MN 56303-1901 Ph: (320) 251-2700 | Michelle Lage, MS, CCC-SLP 1406 6th Ave N, Saint Cloud, MN 56303-1901 Ph: (320) 251-2700 |
Erin Titus, MS, CF-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 2848 2nd St S Ste 155, Saint Cloud, MN 56301 Phone: 320-200-4473 | |
Brenna K Voss, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2835 W Saint Germain St, Saint Cloud, MN 56301 Phone: 320-259-4151 | |
Mary Margaret Stuvland, Speech-Language Pathologist Medicare: May Accept Medicare Assignments Practice Location: 1406 6th Ave N, Saint Cloud, MN 56303 Phone: 320-251-2700 | |
Julia Barrette, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2835 W Saint Germain St Ste 300, Saint Cloud, MN 56301 Phone: 320-259-4151 Fax: 320-259-5707 | |
Shawn Merritt, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4801 Veterans Dr, Building 116, Saint Cloud, MN 56303 Phone: 320-255-6480 | |
Kristine A Hassebrock, MS, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1406 6th Ave N, Saint Cloud, MN 56303 Phone: 320-251-2700 Fax: 320-656-7115 | |
Kathy Kuhl, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1406 6th Ave N, Saint Cloud, MN 56303 Phone: 320-251-2700 |