| Jacob Tyler Quinton, | |
|
10273 Yellow Circle Dr, Minnetonka, MN 55343-9144 | |
| (952) 401-9359 | |
| Not Available |
| Full Name | Jacob Tyler Quinton |
|---|---|
| Gender | Male |
| Speciality | Speech-language Pathologist |
| Location | 10273 Yellow Circle Dr, Minnetonka, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538806617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (Minnesota) | Primary |
| Provider Name | Holland Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1467641555 PECOS PAC ID: 1759507882 Enrollment ID: O20140728000366 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Tyler Quinton, 2838 Fremont Ave S Unit 211, Minneapolis, MN 55408-4806 Ph: (701) 566-2466 | Jacob Tyler Quinton, 10273 Yellow Circle Dr, Minnetonka, MN 55343-9144 Ph: (952) 401-9359 |
Mrs. Katy Marie Cloutier, MA,CCC,SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 3395 Plymouth Rd, Minnetonka, MN 55305 Phone: 952-939-0396 Fax: 952-548-8760 | |
Kristyne Hass, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 500 Carlson Pkwy, Minnetonka, MN 55305 Phone: 877-407-3422 Fax: 877-407-4329 | |
Sara Gotlieb Azorsky, MS, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 12421 Bent Tree Ln, Minnetonka, MN 55305 Phone: 651-503-0018 | |
Linda L Richards, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 500 Carlson Pkwy, Minnetonka, MN 55305 Phone: 877-407-3422 Fax: 877-407-4329 | |
Alexa Ronayne, Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 10653 Wayzata Blvd, Minnetonka, MN 55305 Phone: 612-364-1901 | |
Elizabeth Marie Deacon, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3395 Plymouth Rd, Minnetonka, MN 55305 Phone: 952-939-0396 | |
Bertone Speech Language & Communication Services Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 11606 Wayzata Blvd, Minnetonka, MN 55305 Phone: 952-544-0349 |