Mallory Ellen Imberg, SLP is a
Speech-language Pathologist based in Aurora, Minnesota. Mallory Ellen Imberg is licensed to practice in Minnesota (license number 9978) and her current practice location is
5211 Highway 110, Aurora, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(218) 229-3311.
NPI number for Mallory Ellen Imberg is 1174024095 and her current mailing address is 1702 University Dr S, Fargo, North Dakota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174024095.
Healthcare Provider's Profile
Full Name | Mallory Ellen Imberg |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 5211 Highway 110, Aurora, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1174024095
- Provider Enumeration Date: 02/26/2018
- Last Update Date: 02/26/2018
Medical Identifiers
Medical identifiers for Mallory Ellen Imberg such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174024095 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 9978 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mallory Ellen Imberg is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mallory Ellen Imberg, SLP 1702 University Dr S, Fargo, ND 58103-4940 Ph: (701) 364-4222 | Mallory Ellen Imberg, SLP 5211 Highway 110, Aurora, MN 55705-1522 Ph: (218) 229-3311 |
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