| Melanie Carol Sanmiguel, MS CCC SLP | |
|
2495 Maplewood Dr Ste 313, Maplewood, MN 55109-1985 | |
| (651) 770-8884 | |
| Not Available |
| Full Name | Melanie Carol Sanmiguel |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 2495 Maplewood Dr Ste 313, Maplewood, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740423177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 2009007462 (Missouri) | Secondary |
| 235Z00000X | Speech-language Pathologist | 9271 (Minnesota) | Primary |
| Provider Name | Functional Integrated Therapy, Ltd |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1477640613 PECOS PAC ID: 9234189879 Enrollment ID: O20050131001036 |
| Provider Name | Interactive Therapy Services Of Minnesota Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1083005664 PECOS PAC ID: 3971828096 Enrollment ID: O20150212001939 |
| Mailing Address | Practice Location Address |
|---|---|
| Melanie Carol Sanmiguel, MS CCC SLP 2495 Maplewood Dr Ste 313, Maplewood, MN 55109-1985 Ph: (651) 770-8884 | Melanie Carol Sanmiguel, MS CCC SLP 2495 Maplewood Dr Ste 313, Maplewood, MN 55109-1985 Ph: (651) 770-8884 |
Erin Topitzhofer, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2945 Hazelwood St, Maplewood, MN 55109 Phone: 651-232-7800 | |
Samantha Buerger, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1900 Sherren Ave E, Maplewood, MN 55109 Phone: 651-770-1365 | |
Anna Udenberg, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2495 Maplewood Dr Ste 313, Maplewood, MN 55109 Phone: 651-770-8884 | |
Functional Kids Clinic Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 2495 Maplewood Dr Ste 313, Maplewood, MN 55109 Phone: 651-770-8884 Fax: 651-770-8151 | |
Laura Gunderson, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2395 Ariel St N, Maplewood, MN 55109 Phone: 651-773-3208 | |
Julie Swedburg, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2495 Maplewood Dr Ste 313, Maplewood, MN 55109 Phone: 651-770-8884 Fax: 651-770-8151 | |
Functional Kids Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2495 Maplewood Dr Ste 313, Maplewood, MN 55109 Phone: 651-770-8884 |