| Family Speech & Therapy Services, Llc | |
|
1891 Station Pkwy Nw, Andover, MN 55304 | |
| (763) 755-4275 | |
| (763) 755-4261 |
| Full Name | Family Speech & Therapy Services, Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 1891 Station Pkwy Nw, Andover, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235285966 | NPI | - | NPPES |
| 01043879 | Other | MN | PREFERRED ONE |
| 150165800 | Medicaid | MN | |
| 73G75FA | Other | MN | BLUE CROSS BLUE SHIELD |
| 99915 | Other | MN | HEALTHPARTNERS |
| Provider Name | Kristin L Connell |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336244375 PECOS PAC ID: 7113923434 Enrollment ID: I20061010000529 |
| Provider Name | Pamela S Lundequam |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063598605 PECOS PAC ID: 8527068238 Enrollment ID: I20070103000219 |
| Provider Name | Deanna R Carey |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760648661 PECOS PAC ID: 8123195955 Enrollment ID: I20080922000032 |
| Provider Name | Andria Marie Davis |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487043865 PECOS PAC ID: 2567789522 Enrollment ID: I20150331002902 |
| Provider Name | Emily J Jung |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1447532494 PECOS PAC ID: 4183938509 Enrollment ID: I20150729009552 |
| Provider Name | Molly M Nordberg |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1508275207 PECOS PAC ID: 5597079913 Enrollment ID: I20150729009704 |
| Provider Name | Rebecca H Walton |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1477836096 PECOS PAC ID: 6709190010 Enrollment ID: I20150730013117 |
| Provider Name | Alicia J Marten |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841414794 PECOS PAC ID: 4981918208 Enrollment ID: I20150730013539 |
| Provider Name | Kelly L Hungaski |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1235357898 PECOS PAC ID: 9234273863 Enrollment ID: I20150730013822 |
| Provider Name | Carrie L Jerylo |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1770629297 PECOS PAC ID: 9830404961 Enrollment ID: I20150818004918 |
| Provider Name | Sarah N Zinkel |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437335643 PECOS PAC ID: 7416258942 Enrollment ID: I20151229000262 |
| Provider Name | Jennifer A Schwalbach |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932463379 PECOS PAC ID: 3971805052 Enrollment ID: I20160106001615 |
| Provider Name | Laura M Bollig |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144778044 PECOS PAC ID: 7012298540 Enrollment ID: I20161221001176 |
| Provider Name | Leeann Rae Kyriakides |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1285681247 PECOS PAC ID: 0143503946 Enrollment ID: I20170201001092 |
| Provider Name | Maria T Collins |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1871964700 PECOS PAC ID: 1052694312 Enrollment ID: I20170210001228 |
| Provider Name | Deborah L Gabel |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164949178 PECOS PAC ID: 9537435680 Enrollment ID: I20171018000823 |
| Provider Name | Saige Baker-lietz |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417460809 PECOS PAC ID: 8022376490 Enrollment ID: I20171213002464 |
| Provider Name | Sara Jesse Gleason |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457871956 PECOS PAC ID: 5597023721 Enrollment ID: I20171218001079 |
| Provider Name | Kaylin Horne |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1134631682 PECOS PAC ID: 9638428584 Enrollment ID: I20180827000046 |
| Provider Name | Kerri Mulder |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1245718535 PECOS PAC ID: 1850645177 Enrollment ID: I20181126001261 |
| Provider Name | Bryden Giving |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144794413 PECOS PAC ID: 0648510693 Enrollment ID: I20190329000111 |
| Provider Name | Chelsea Lawrence |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1154880383 PECOS PAC ID: 1658600747 Enrollment ID: I20190916002021 |
| Provider Name | Nicole Rechtzigel |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1558921064 PECOS PAC ID: 8022340413 Enrollment ID: I20191105000923 |
| Provider Name | Michelle A Deremer |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1326697756 PECOS PAC ID: 5395177919 Enrollment ID: I20191119002365 |
| Provider Name | Laura L Jaeger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326684556 PECOS PAC ID: 7810321965 Enrollment ID: I20191223001720 |
| Provider Name | Raina Demarais |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700416914 PECOS PAC ID: 3173953684 Enrollment ID: I20200424001332 |
| Provider Name | Alissa Deardorff |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528693785 PECOS PAC ID: 4082045745 Enrollment ID: I20200513000027 |
| Provider Name | Amy Brisson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1235741604 PECOS PAC ID: 3870910102 Enrollment ID: I20200901000524 |
| Provider Name | Stephanie Frey |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1992353882 PECOS PAC ID: 8729405972 Enrollment ID: I20200902001008 |
| Provider Name | Paige Melby |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417550898 PECOS PAC ID: 3678988342 Enrollment ID: I20210211001123 |
| Provider Name | Abby Rose Kargul |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427679992 PECOS PAC ID: 4385050335 Enrollment ID: I20210317000784 |
| Provider Name | Taylor M Grootwassink |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811572936 PECOS PAC ID: 5890103972 Enrollment ID: I20210412000225 |
| Provider Name | Ellen Stowe |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1205411428 PECOS PAC ID: 0840609541 Enrollment ID: I20210510002514 |
| Provider Name | Melody Koerselman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346828548 PECOS PAC ID: 8426467135 Enrollment ID: I20210511000266 |
| Provider Name | Kathryn Rubinchik |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1669734638 PECOS PAC ID: 1759689805 Enrollment ID: I20210707000905 |
| Provider Name | Andrea Meagher |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1386216711 PECOS PAC ID: 0244634830 Enrollment ID: I20210804000701 |
| Provider Name | Natalie J Frier |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1205397726 PECOS PAC ID: 6507260890 Enrollment ID: I20210809002906 |
| Provider Name | Nicole Marie Chisholm |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013592542 PECOS PAC ID: 2961810510 Enrollment ID: I20210809003052 |
| Provider Name | Kimberlee B Gross |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1164701074 PECOS PAC ID: 6002212842 Enrollment ID: I20210902002189 |
| Provider Name | Ashely Ka Zoua Xiong |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487318572 PECOS PAC ID: 9234527847 Enrollment ID: I20211102000285 |
| Provider Name | Sydney M Brock |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508354325 PECOS PAC ID: 2668863259 Enrollment ID: I20211215000364 |
| Provider Name | Sarah Sneltjes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770249401 PECOS PAC ID: 5991198210 Enrollment ID: I20220209002762 |
| Provider Name | Morgan Evitts |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669138384 PECOS PAC ID: 8628462587 Enrollment ID: I20220218002169 |
| Provider Name | Madecyn Caroline Franz |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1700495587 PECOS PAC ID: 9335534098 Enrollment ID: I20220315001867 |
| Provider Name | Evelyn L Mueggenberg |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649913468 PECOS PAC ID: 6709264104 Enrollment ID: I20220525001505 |
| Provider Name | Amber Bauer |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255097986 PECOS PAC ID: 5597143909 Enrollment ID: I20220525001974 |
| Provider Name | Kiley Hogg |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1245723105 PECOS PAC ID: 7911385208 Enrollment ID: I20220526002761 |
| Provider Name | Molly Pybas |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1578296372 PECOS PAC ID: 8921483546 Enrollment ID: I20220919001765 |
| Provider Name | Emelia Miner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548988900 PECOS PAC ID: 9335524966 Enrollment ID: I20220919002082 |
| Provider Name | Taylor Freese |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1497488209 PECOS PAC ID: 2860877495 Enrollment ID: I20220919002192 |
| Provider Name | Allyson Hansen Rogers |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1649903444 PECOS PAC ID: 4688059215 Enrollment ID: I20220919002198 |
| Provider Name | Stephanie Olson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1568195360 PECOS PAC ID: 7810372364 Enrollment ID: I20220919003250 |
| Provider Name | Sara Berg |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1518685973 PECOS PAC ID: 9335524834 Enrollment ID: I20220920002162 |
| Provider Name | Ashley Stephens |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700519519 PECOS PAC ID: 6507242948 Enrollment ID: I20221007001794 |
| Provider Name | Cassandra Wald |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801225685 PECOS PAC ID: 0749650349 Enrollment ID: I20221222001789 |
| Provider Name | Alyssa Smith |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1881239143 PECOS PAC ID: 4183094790 Enrollment ID: I20221222001949 |
| Provider Name | Kristina Dose |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1033834775 PECOS PAC ID: 5890165419 Enrollment ID: I20221222002504 |
| Provider Name | Maria Miller |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437865052 PECOS PAC ID: 0648644229 Enrollment ID: I20230322000701 |
| Provider Name | Caitlyn Bath |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629770144 PECOS PAC ID: 4880059484 Enrollment ID: I20230504001023 |
| Provider Name | Claire Oberle |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306405428 PECOS PAC ID: 5193181212 Enrollment ID: I20230516001878 |
| Provider Name | Sadie George |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629768874 PECOS PAC ID: 4284090879 Enrollment ID: I20230524002701 |
| Provider Name | Hannah Arason |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1669157202 PECOS PAC ID: 5092174896 Enrollment ID: I20230711001549 |
| Provider Name | Brittany Erickson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1174217459 PECOS PAC ID: 7911366729 Enrollment ID: I20230711001803 |
| Provider Name | Michelle Macgillivray |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1346926755 PECOS PAC ID: 6800255647 Enrollment ID: I20230711002708 |
| Provider Name | Megan Dierking |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1003591652 PECOS PAC ID: 7315307097 Enrollment ID: I20230712003985 |
| Provider Name | Jordan Enevold |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1851076202 PECOS PAC ID: 4981064565 Enrollment ID: I20230713003240 |
| Provider Name | Lydia Nemeth |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1740973080 PECOS PAC ID: 6002277993 Enrollment ID: I20230725000954 |
| Provider Name | Madeline Wells |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1497449979 PECOS PAC ID: 7113388935 Enrollment ID: I20230726002401 |
| Provider Name | Ashley Sprain |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073292322 PECOS PAC ID: 9931560463 Enrollment ID: I20230801001382 |
| Provider Name | Loran Hawkins |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1245918515 PECOS PAC ID: 9133580327 Enrollment ID: I20230803004026 |
| Provider Name | Morgan E Heilman |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1508543315 PECOS PAC ID: 4789047754 Enrollment ID: I20230824001836 |
| Provider Name | Inga Rohde |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144908930 PECOS PAC ID: 2365806296 Enrollment ID: I20230912000753 |
| Provider Name | Laura Marie Jakes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730841081 PECOS PAC ID: 4486008117 Enrollment ID: I20230928001202 |
| Provider Name | Andrea Konz |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1609653344 PECOS PAC ID: 8224482971 Enrollment ID: I20230928001895 |
| Provider Name | Sarah Mcgoldrick |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770267916 PECOS PAC ID: 2668829581 Enrollment ID: I20231114001198 |
| Provider Name | Kristine Girbe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932972445 PECOS PAC ID: 6204286826 Enrollment ID: I20231222001097 |
| Provider Name | Ellison Rose Schmillen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912775982 PECOS PAC ID: 0042660094 Enrollment ID: I20240103001876 |
| Provider Name | Rachel Woodman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689444234 PECOS PAC ID: 4880047661 Enrollment ID: I20240129000951 |
| Provider Name | Arianna Renee Barrett |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1710728720 PECOS PAC ID: 0648714691 Enrollment ID: I20240701002972 |
| Provider Name | Jordan Simusa |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1790305951 PECOS PAC ID: 7810431871 Enrollment ID: I20240701003038 |
| Provider Name | Abbi Lynne Rosenwasser |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1992379770 PECOS PAC ID: 9133663073 Enrollment ID: I20240702001937 |
| Provider Name | Samantha Jane Young |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013787001 PECOS PAC ID: 5496299307 Enrollment ID: I20240702004598 |
| Provider Name | Jenna Nicole Fields |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699524546 PECOS PAC ID: 3971048760 Enrollment ID: I20240717000508 |
| Provider Name | Erica Marie Lutz |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1447997507 PECOS PAC ID: 0840736559 Enrollment ID: I20240718000830 |
| Provider Name | Abby Popp |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1811739055 PECOS PAC ID: 0840736591 Enrollment ID: I20240718002032 |
| Provider Name | Michaela Marie Craigan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396592929 PECOS PAC ID: 9133668809 Enrollment ID: I20240826002501 |
| Provider Name | Michelle Kloke |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346071990 PECOS PAC ID: 9931632163 Enrollment ID: I20241028000419 |
| Provider Name | Kaylin Payette |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629899596 PECOS PAC ID: 1759814478 Enrollment ID: I20241101001296 |
| Provider Name | Jessica Westerfeld |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639989189 PECOS PAC ID: 0749718948 Enrollment ID: I20250116000610 |
| Provider Name | Alissa Marie Benson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447061734 PECOS PAC ID: 0749700722 Enrollment ID: I20250220002167 |
| Provider Name | Emily Marie Greenbrook |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1740818624 PECOS PAC ID: 3274053228 Enrollment ID: I20250221000702 |
| Provider Name | Katherine Luke |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528871886 PECOS PAC ID: 9537681036 Enrollment ID: I20250313001734 |
| Provider Name | Alejandra Munoz Salas |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427687516 PECOS PAC ID: 9739604430 Enrollment ID: I20250415002432 |
| Provider Name | Mikayla Wandersee |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215669155 PECOS PAC ID: 1254858608 Enrollment ID: I20250508001561 |
| Provider Name | Brianna Columbus |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598558942 PECOS PAC ID: 2062922354 Enrollment ID: I20250606000387 |
| Mailing Address | Practice Location Address |
|---|---|
| Family Speech & Therapy Services, Llc 1891 Station Pkwy Nw, Andover, MN 55304 Ph: (763) 755-4275 | Family Speech & Therapy Services, Llc 1891 Station Pkwy Nw, Andover, MN 55304 Ph: (763) 755-4275 |
Megan Dierking, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304 Phone: 763-755-4275 | |
Mrs. Melissa Sue Lonsky, CCC-SLP, OM Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 13750 Crosstown Dr Nw, Andover, MN 55304 Phone: 763-755-4275 Fax: 763-755-4261 | |
Courtney Wagner, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304 Phone: 763-755-4275 | |
Kristina Dose, MA, SLLP-CF/DE Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304 Phone: 763-755-4275 Fax: 763-755-4261 | |
Ms. Kelsey Anne Wegner, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304 Phone: 763-755-4275 | |
Nicole Morrissey, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304 Phone: 763-350-0371 | |
Kayla Braun, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304 Phone: 763-755-4275 |