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SOUTH METRO THERAPLAY LLC NPI 1851392997


NPI Information

NPI: 1851392997
Provider Name: SOUTH METRO THERAPLAY, LLC
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
314 MAIN ST E
SUITE 3
NEW PRAGUE, MN
ZIP 56071
Phone: (952) 758-5775
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SOUTH METRO THERAPLAY, LLC is a speech language pathologist in New Prague, 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. SOUTH METRO THERAPLAY, LLC NPI is 1851392997. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

314 MAIN ST E
SUITE 3
NEW PRAGUE, MN
ZIP 56071-448
Phone: (952) 758-5775
Fax: (952) 758-5778

The provider's authorized official is Andrea Kay Malecha .
The authorized official title is President and has the following contact phone number (952) 758-5775.

The enumeration date for this NPI number is 8/10/2005 and was last updated on 7/21/2022.


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
1235Z00000XSpeech-Language PathologistMINNESOTAYes
2225X00000XOccupational TherapistMINNESOTAX

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
1685S4SOOTHERMINNESOTABCBS OT PROVIDER #
27137545OTHERMINNESOTAAETNA PROVIDER#
3685S8SOOTHERMINNESOTABCBS SPEECH PROVIDER #
44600753OTHERMINNESOTAMEDICA PROVIDER#
5101451OTHERMINNESOTAHEALTH PARTNERS PROVIDER#
61040435OTHERMINNESOTAPREFERRED ONE PROVIDER#

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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