| Mrs Tina Patricia Lavin, SLP | |
|
6500 Excelsior Blvd, Saint Louis Park, MN 55426-4702 | |
| (952) 993-1000 | |
| Not Available |
| Full Name | Mrs Tina Patricia Lavin |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 6500 Excelsior Blvd, Saint Louis Park, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053439497 | NPI | - | NPPES |
| 4600293 | Other | MN | MEDICA |
| 9G930AS | Other | MN | BCBS |
| HP43893 | Other | MN | HEALTH PARTNERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 6177 (Minnesota) | Primary |
| Provider Name | Park Nicollet Clinic |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Tina Patricia Lavin, SLP 709 University Ave W, Saint Paul, MN 55104-4804 Ph: (651) 265-2314 | Mrs Tina Patricia Lavin, SLP 6500 Excelsior Blvd, Saint Louis Park, MN 55426-4702 Ph: (952) 993-1000 |
Julia Marie Jacobs, SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 6099 Wayzata Blvd, Saint Louis Park, MN 55416 Phone: 612-871-1144 Fax: 817-920-0068 | |
Ms. Sara Gonzalez, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: Methodist Hospital, 6500 Excelsior Blvd, Saint Louis Park, MN 55416 Phone: 651-340-4372 | |
Meredith Richards Speech Therapy Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4230 Raleigh Ave, Saint Louis Park, MN 55416 Phone: 612-790-7970 | |
Brenna Pham Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4250 Browndale Ave, Saint Louis Park, MN 55416 Phone: 612-965-5732 | |
Mrs. Meredith Richards, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 4209 Princeton Ave, Saint Louis Park, MN 55416 Phone: 612-790-7970 | |
Cassies Kids Clinic Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5707 Highway 7 Apt 119, Saint Louis Park, MN 55416 Phone: 630-561-4714 |