| Michaela Ann Shuttleworth, MS, CCC-SLP | |
|
3305 Central Park Village Dr Ste 150, Eagan, MN 55121-7707 | |
| (651) 406-8868 | |
| Not Available |
| Full Name | Michaela Ann Shuttleworth |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 3305 Central Park Village Dr Ste 150, Eagan, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881268464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Fairview Express Care |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
| Mailing Address | Practice Location Address |
|---|---|
| Michaela Ann Shuttleworth, MS, CCC-SLP 333 Smith Ave N, Saint Paul, MN 55102-2344 Ph: (715) 533-5165 | Michaela Ann Shuttleworth, MS, CCC-SLP 3305 Central Park Village Dr Ste 150, Eagan, MN 55121-7707 Ph: (651) 406-8868 |
Shirin Razavian, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2030 Rahn Way, Eagan, MN 55122 Phone: 651-529-1960 | |
Claudia Christensen-major, MACCCSLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 2795 Pilot Knob Rd, Suite 100, Eagan, MN 55121 Phone: 651-994-9644 Fax: 651-994-8962 | |
Kelly Carlson, MACCCSLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2795 Pilot Knob Rd, Suite 100, Eagan, MN 55121 Phone: 651-994-9644 Fax: 651-994-8962 | |
Jennifer Bailey, MACCCSLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2795 Pilot Knob Rd, Suite #100, Eagan, MN 55121 Phone: 651-994-9644 Fax: 651-994-8962 | |
Katlyn Elizabeth Dahlstrom, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3305 Central Park Village Dr Ste 130, Eagan, MN 55121 Phone: 651-406-8868 | |
Amanda Enstrom, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3464 Washington Dr, Suite 110, Eagan, MN 55122 Phone: 952-460-4278 | |
Kelsey Falligant, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2795 Pilot Knob Rd Ste 100, Eagan, MN 55121 Phone: 651-994-9644 |