Kelly Ann Riordan-jaeschke M.S. CCC-SLP

NPI 1164648028 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1164648028
Gender Female
Enumeration Date 04/18/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
80 MINNESOTA AVE
LITTLE CANADA MN, 55117-1781, US
Phone (651) 481-8040
Fax (651) 481-8649
Business Location
698 ROY ST S
SAINT PAUL MN, 55116-1424, US
Phone (651) 699-5181
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Minnesota
License Number 7026
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According to our database, Ms. Kelly Ann Riordan-jaeschke M.S. CCC-SLP NPI is 1164648028, taxonomy code is 235Z00000X and license number is 7026, license state is located at Minnesota. Kelly Ann Riordan-jaeschke M.S. CCC-SLP physically located at 80 Minnesota Ave, Little Canada MN, 55117-1781. NPI Number Kelly Ann Riordan-jaeschke M.S. CCC-SLP has the Individual type.

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1164648028 NPI number is provided on an as is basis without warranty of any kind. 1164648028 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly Ann Riordan-jaeschke M.S. CCC-SLP are for informational purposes only.