Organization
KESSLER SPEECH THERAPY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODELL KESSLER (PRESIDENT, CEO)
(320) 251-5590
Entity
Organization
Contact information
Practice address
2835 W SAINT GERMAIN ST, #300, SAINT CLOUD, MN 56301-6280
(320) 215-5590
Mailing address
PO BOX 5123, SAINT CLOUD, MN 56302-5123
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5520
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01016518
PREFERRED ONE
MN
01
—
115484
UCARE
MN
01
—
1880044
MAYO MANAGEMENT
MN
01
—
1A510KE
BLUE CROSS BLUE SHIELD
MN
01
—
4600206
MEDICA
MN
01
—
645133
PRO NET
MN
01
—
7005573
PREFERRED ONE COMM HEALTH
MN
01
—
7985172
AETNA
MN
01
—
9390635
LUMENOS
MN
Enumeration date
04/22/2007
Last updated
10/04/2016
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