| Otter Speech Therapy Llc | |
|
123 W Lincoln Ave Ste 6, Fergus Falls, MN 56537-2133 | |
| (218) 321-0808 | |
| Not Available |
| Full Name | Otter Speech Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 123 W Lincoln Ave Ste 6, Fergus Falls, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043010986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| 261QH0700X | Clinic/center - Hearing And Speech | (* (Not Available)) | Secondary |
| Provider Name | Julia Irene Lakoduk |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1962973453 PECOS PAC ID: 8628588431 Enrollment ID: I20250611000145 |
| Mailing Address | Practice Location Address |
|---|---|
| Otter Speech Therapy Llc 123 W Lincoln Ave Ste 6, Fergus Falls, MN 56537-2133 Ph: (218) 321-0808 | Otter Speech Therapy Llc 123 W Lincoln Ave Ste 6, Fergus Falls, MN 56537-2133 Ph: (218) 321-0808 |
Tanya Kelsen, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1201 N Tower Rd, Fergus Falls, MN 56537 Phone: 218-998-0935 | |
Miss Rachael Claire Rein, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 601 Randolph Ave, Fergus Falls, MN 56537 Phone: 218-998-0544 | |
Kathleen Frances Rausch, SPEECH/LANGUAGE PATH Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 17239 River Oaks Ln, Fergus Falls, MN 56537 Phone: 218-205-4350 | |
Shelby Lynn Sowers, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 919 Northern Ave, Fergus Falls, MN 56537 Phone: 218-998-0544 | |
Jennifer Lynn Swanson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2300 College Way, Fergus Falls, MN 56537 Phone: 218-998-0544 | |
April Hoffert, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1201 N Tower Rd, Fergus Falls, MN 56537 Phone: 218-998-0935 |