| Kate Olivia Hanson, MA, CF-SLP | |
|
6776 Lake Dr Ste 220, Lino Lakes, MN 55014-1192 | |
| (651) 784-7007 | |
| Not Available |
| Full Name | Kate Olivia Hanson |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 6776 Lake Dr Ste 220, Lino Lakes, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588309561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Advance Speech Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1215144654 PECOS PAC ID: 5496064644 Enrollment ID: O20151029000276 |
| Mailing Address | Practice Location Address |
|---|---|
| Kate Olivia Hanson, MA, CF-SLP 3435 Ten Oaks St S, Cambridge, MN 55008-3809 Ph: (763) 688-3682 | Kate Olivia Hanson, MA, CF-SLP 6776 Lake Dr Ste 220, Lino Lakes, MN 55014-1192 Ph: (651) 784-7007 |
Emily Goldhammer, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6776 Lake Dr, 220, Lino Lakes, MN 55014 Phone: 651-784-7007 Fax: 651-784-7992 | |
Advance Therapy Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6776 Lake Dr, Lino Lakes, MN 55014 Phone: 651-784-7007 | |
Shana Banas, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6776 Lake Dr, 220, Lino Lakes, MN 55014 Phone: 651-784-7007 | |
Kaylen Whetstone, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 6776 Lake Dr, 220, Lino Lakes, MN 55014 Phone: 651-784-7007 Fax: 651-784-7992 | |
Kaelyn Layell Isaacson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6776 Lake Dr Ste 220, Lino Lakes, MN 55014 Phone: 651-784-7007 | |
Advance Speech Therapy, Llc Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 6776 Lake Dr, 220, Lino Lakes, MN 55014 Phone: 651-784-7007 Fax: 651-784-7992 | |
Renee Deborah Therrien Bouchareb, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 6776 Lake Dr Ste 220, Lino Lakes, MN 55014 Phone: 651-784-7007 |