| Katelyn Jean Smith, | |
|
715 Greendale Ln, Vadnais Heights, MN 55127-3514 | |
| (651) 621-9987 | |
| Not Available |
| Full Name | Katelyn Jean Smith |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 715 Greendale Ln, Vadnais Heights, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194321109 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 10620 (Minnesota) | Primary |
| Provider Name | Family Achievement Center Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1952411175 PECOS PAC ID: 6800795444 Enrollment ID: O20040102000720 |
| Mailing Address | Practice Location Address |
|---|---|
| Katelyn Jean Smith, 715 Greendale Ln, Vadnais Heights, MN 55127-3514 Ph: (651) 621-9987 | Katelyn Jean Smith, 715 Greendale Ln, Vadnais Heights, MN 55127-3514 Ph: (651) 621-9987 |
Emily Dawn Berglund, MA, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 380 Oak Grove Pkwy, Vadnais Heights, MN 55127 Phone: 952-767-4200 | |
Nicole Thoma, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3485 Willow Lake Blvd Ste 300, Vadnais Heights, MN 55110 Phone: 651-797-4430 | |
Ms. Deborah Ann Tatge, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4301 Evergreen Dr, Vadnais Heights, MN 55127 Phone: 651-407-6477 |