| Functional Kids Clinic | |
|
14425 8th Ave N, Plymouth, MN 55447-4456 | |
| (651) 260-9915 | |
| Not Available |
| Full Name | Functional Kids Clinic |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 14425 8th Ave N, Plymouth, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083005664 | NPI | - | NPPES |
| 6HS76FU | Other | MN | BLUE CROSS BLUE SHIELD |
| 004292700 | Medicaid | MN | |
| 181363 | Other | MN | UCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 6402 (Minnesota) | Primary |
| Provider Name | Julie K Ernest |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1821187485 PECOS PAC ID: 3678741659 Enrollment ID: I20110718000619 |
| Mailing Address | Practice Location Address |
|---|---|
| Functional Kids Clinic 14425 8th Ave N, Plymouth, MN 55447-4456 Ph: (651) 260-9915 | Functional Kids Clinic 14425 8th Ave N, Plymouth, MN 55447-4456 Ph: (651) 260-9915 |
Sprout Speech Therapy Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 18025 30th Pl N, Plymouth, MN 55447 Phone: 763-200-6367 Fax: 651-369-5540 |
Kari Shoemaker, M.S Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5855 Cheshire Parkway, Plymouth, MN 55446 Phone: 763-553-7600 |
Amber J Bartlett, M.S., CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 14130 23rd Ave N, Plymouth, MN 55447 Phone: 763-383-7666 Fax: 763-383-6013 |
Megan Stumpf, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 15600 36th Ave N Ste 120, Plymouth, MN 55446 Phone: 763-595-0812 Fax: 763-595-0824 |
Megan L Wroblewski, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3021 Harbor Ln N Ste 120, Plymouth, MN 55447 Phone: 763-551-3652 |
Eric William Ernest, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 14425 8th Ave N, Plymouth, MN 55447 Phone: 763-607-2091 Fax: 763-550-1633 |
Anne R Lindgren, CCC, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3001 Harbor Ln N, Suite 120, Plymouth, MN 55447 Phone: 763-551-3652 Fax: 763-551-1334 |