MINNESOTA SPEECH SPECIALISTS LLC NPI 1215318480

NPI Information

  • NPI: 1215318480
  • Provider Name: MINNESOTA SPEECH SPECIALISTS, LLC
  • Classification: Speech-Language Pathologist - 235Z00000X
  • Entity Type: Organization
  • CLIA Number: 24D1002396
  • Address: 2640 WINDSOR LN
    WOODBURY, MN
    ZIP 55125
  • Phone: (651) 262-9639

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NPI Details

MINNESOTA SPEECH SPECIALISTS, LLC is a speech language pathologist in Woodbury, MN. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. MINNESOTA SPEECH SPECIALISTS, LLC NPI is 1215318480. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2640 WINDSOR LN
WOODBURY, MN
ZIP 55125-792
Phone: (651) 262-9639

The provider's authorized official is Kelly Mingus .
The authorized official title is Director/owner and has the following contact phone number (651) 262-9639.

The CLIA number assigned to this NPI record is 24D1002396 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 6/14/2015 and was last updated on 6/14/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1235Z00000XSpeech-Language PathologistYes

What is NPI?

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This page was last updated on: 11/21/2025

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