Jerylo, Carrie Latvala

Jerylo, Carrie Latvala is an individual health care provider with primary practice located at 13750 Crosstown Dr Nw Suite 310, Andover MN 55304-5853. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Jerylo, Carrie Latvala can be contacted via phone (763) 755-4275.

Contact Information

Primary practice address
13750 Crosstown Dr Nw Suite 310 Andover MN 55304-5853
Phone: (763) 755-4275
Fax: (763) 755-4261
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 6292 Minnesota

Profile Details

NPI number 1770629297
LBN Legal business name Jerylo, Carrie Latvala
Credentials M.S., CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770629297 NPPES
Minnesota Other 131G3JE BLUECROSSBLUESHIELD
Minnesota Other HP34823 BLUECROSSBLUESHIELD
Minnesota Other 46-00854 BLUECROSSBLUESHIELD

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