| Mrs Manda Florence Riebel, MA, CCC-SLP | |
|
11091 Jason Ave Ne Ste 2, Albertville, MN 55301-4703 | |
| (763) 744-4164 | |
| (763) 497-0679 |
| Full Name | Mrs Manda Florence Riebel |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 11091 Jason Ave Ne Ste 2, Albertville, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477096428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 6308 (Minnesota) | Primary |
| Provider Name | Aegis Group Practice Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1417340126 PECOS PAC ID: 5193036432 Enrollment ID: O20150612001586 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Manda Florence Riebel, MA, CCC-SLP 4690 Lannon Court Ne, Saint Michael, MN 55376 Ph: (763) 913-4624 | Mrs Manda Florence Riebel, MA, CCC-SLP 11091 Jason Ave Ne Ste 2, Albertville, MN 55301-4703 Ph: (763) 744-4164 |
Natalie Croaker, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 5232 Kyler Ave Ne, Albertville, MN 55301 Phone: 952-223-2506 | |
Sara Wigdahl, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5232 Kyler Ave Ne Ste A, Albertville, MN 55301 Phone: 952-223-2506 | |
Ellyssa Hoversten, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 5232 Kyler Ave Ne, Albertville, MN 55301 Phone: 952-223-2506 | |
Mrs. Shanda Gwen Gaunt, MS CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 11091 Jasen Ave Ne Suite 2, Courage Kenny Rehabilitation Institute Albertville Part, Albertville, MN 55301 Phone: 763-744-4160 Fax: 763-497-0679 |