| Mrs Amy Beth Pederson, MA, CCC-SLP | |
|
7006 Greenwood Ct, Rockford, MN 55373-4581 | |
| (612) 961-8310 | |
| Not Available |
| Full Name | Mrs Amy Beth Pederson |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 7006 Greenwood Ct, Rockford, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083745244 | NPI | - | NPPES |
| 5727164 | Other | MN | MINNESOTA TAX ID # |
| 4601172 | Other | MEDICA PROVIDER NUMBER | |
| 146T2PE | Other | MN | BCBS PARTICIPAT. PROVID.# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 7434 (Minnesota) | Primary |
| 235Z00000X | Speech-language Pathologist | FILE FOLDER # 389213 (Minnesota) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Amy Beth Pederson, MA, CCC-SLP Po Box 266, Rockford, MN 55373-0266 Ph: (612) 961-8310 | Mrs Amy Beth Pederson, MA, CCC-SLP 7006 Greenwood Ct, Rockford, MN 55373-4581 Ph: (612) 961-8310 |
Abbey Veldhuizen, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6041 Terrace Cir, Rockford, MN 55373 Phone: 612-236-6014 |