JODI LYNN DEZALE MA CCC SLP NPI 1962535245

NPI Information

Jodi Lynn Dezale, MA CCC SLP is a speech language pathologist in Golden Valley, 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. Jodi Lynn Dezale, MA CCC SLP NPI is 1962535245. 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:

3915 GOLDEN VALLEY ROAD
COURAGE CENTER
GOLDEN VALLEY, MN
ZIP 55422-298
Phone: (763) 520-0714
Fax: (763) 520-0355

The enumeration date for this NPI number is 3/14/2007 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:

Other Identifiers

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

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