Advance Therapy

LBN: Advance Speech Therapy, Llc
Advance Therapy is an health care organization with primary practice located at 6776 Lake Dr 220, Lino Lakes MN 55014. The organization recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as the primary health care specialty. Advance Speech Therapy, Llc can be contacted via phone (651) 784-7007, or through Jensen, Jennifer M via phone (651) 784-7007.

Contact Information

Primary practice address
6776 Lake Dr 220 Lino Lakes MN 55014
Phone: (651) 784-7007
Fax: (651) 784-7992
Website:
Map and Directions
Authorized official contact:
Name: Jensen, Jennifer M CCC-SLP
Phone: (651) 784-7007

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 7350 Minnesota
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 8361 Minnesota
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 8679 Minnesota
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 8826 Minnesota
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 8490 Minnesota

Profile Details

NPI number 1215144654
LBN Legal business name Advance Speech Therapy, Llc
DBA Doing business as Advance Therapy
Authorized official Jensen, Jennifer M CCC-SLP
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2007
Last updated Jul 2nd, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215144654 NPPES
Minnesota MEDICAID 073222200

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