Individual
ALLI LAUREL FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2110 SILVER BELL RD, EAGAN, MN 55122-1024
(952) 767-4200
Mailing address
8466 144TH ST W, APPLE VALLEY, MN 55124-6528
(507) 479-0503
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
528569
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14444848
AMERICAN SPEECH LANGUAGE HEARING ASSOCIATION (ASHA)
MN
Enumeration date
05/22/2023
Last updated
04/03/2024
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