Advance Speech Therapy, LLC
NPI #1215144654 in Lino Lakes, Minnesota
Provider Information
- NPI Number
- 1215144654
- Entity Type
- Organization
- Organization Name
- Advance Speech Therapy, LLC
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- May 16, 2007
- Last Updated
- Jul 2, 2018
Practice Location
- Address
- 6776 LAKE DR
- Address 2
- 220
- City
- Lino Lakes
- State
- Minnesota
- ZIP Code
- 55014
- Phone
- (651) 784-7007
Authorized Official
- Name
- MS. JENNIFER M JENSEN, CCC-SLP
- Title
- OWNER
- Phone
- (651) 784-7007
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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