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FAMILY SPEECH & THERAPY SERVICES LLC NPI 1235285966


NPI Information

NPI: 1235285966
Provider Name: FAMILY SPEECH & THERAPY SERVICES, LLC

Doing Business As: SORA PEDIATRIC THERAPY

Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
1891 STATION PKWY NW
ANDOVER, MN
ZIP 55304
Phone: (763) 755-4275
Get Directions

FAMILY SPEECH & THERAPY SERVICES, LLC is a speech language pathologist in Andover, 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. FAMILY SPEECH & THERAPY SERVICES, LLC NPI is 1235285966. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sora Pediatric Therapy.

The provider's business location address is:

1891 STATION PKWY NW
ANDOVER, MN
ZIP 55304
Phone: (763) 755-4275
Fax: (763) 755-4261

The provider's authorized official is Melissa Sue Lonsky .
The authorized official title is Chief Executive Officer and has the following contact phone number (612) 817-0306.

The enumeration date for this NPI number is 1/26/2007 and was last updated on 1/7/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225X00000XOccupational TherapistNo
2235Z00000XSpeech-Language Pathologist7012MINNESOTAYes
3261QP2000XClinic/CenterPhysical TherapyNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
199915OTHERMINNESOTAHEALTHPARTNERS
201043879OTHERMINNESOTAPREFERRED ONE
373G75FAOTHERMINNESOTABLUE CROSS BLUE SHIELD
4150165800MEDICAIDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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