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STACY LEIDHOLT MA CCC-SLP NPI 1689898371


NPI Information

NPI: 1689898371
Provider Name: STACY LEIDHOLT, MA, CCC-SLP
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Individual
Address:
300 COON RAPIDS BLVD NW STE 200
COON RAPIDS, MN
ZIP 55433
Phone: (763) 767-0854
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Stacy Leidholt, MA, CCC-SLP is a speech language pathologist in Coon Rapids, 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. Stacy Leidholt, MA, CCC-SLP NPI is 1689898371. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

300 COON RAPIDS BLVD NW STE 200
COON RAPIDS, MN
ZIP 55433-645
Phone: (763) 767-0854

The enumeration date for this NPI number is 4/12/2007 and was last updated on 7/8/2007.


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 Pathologist7946MINNESOTAYes

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: 5/5/2024

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