Individual
MS. DEBRA MEINDL CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
5861 CEDAR LAKE RD S, MINNEAPOLIS, MN 55416-1653
(763) 544-1000
Mailing address
3413 INTERLACHEN DR NE, HAM LAKE, MN 55304-4511
(763) 370-3028
(763) 755-4261
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7012
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43-2036236
UNITED HEALTH CARE
MN
01
—
46-00776
MEDICA
MN
01
—
73G76LE
BLUE CROSS BLUE SHIELD
MN
05
—
861477600
—
MN
01
—
AO19510443880
PREFERRED ONE
MN
01
—
HP49339
HEALTHPARTNERS
MN
Enumeration date
01/26/2007
Last updated
10/19/2020
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