Individual
STEPHANIE M HELGERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSE CCC-SLP
Contact information
Practice address
9048 PEONY LN N, MAPLE GROVE, MN 55311-4417
(763) 416-9313
(763) 416-4530
Mailing address
15201 CRYSTAL LAKE TER, BURNSVILLE, MN 55306-5006
(952) 898-4082
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8097
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
542G8HE
BLUE CROSS BLUE SHIELD
MN
Enumeration date
12/29/2006
Last updated
07/08/2007
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