| Jackie Dietz, | |
|
640 3rd St, Gaylord, MN 55334-2297 | |
| (507) 237-8730 | |
| Not Available |
| Full Name | Jackie Dietz |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 640 3rd St, Gaylord, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881938397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 8784 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jackie Dietz, 640 3rd St, Gaylord, MN 55334-2297 Ph: (507) 237-8730 | Jackie Dietz, 640 3rd St, Gaylord, MN 55334-2297 Ph: (507) 237-8730 |
Shannon Kuelbs, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: Po Box 356, Gaylord, MN 55334 Phone: 507-237-3324 |
Mrs. Ashley Maria Engles, M.S. CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 640 3rd St, Gaylord, MN 55334 Phone: 507-237-5744 |