Organization
ELEVATE SPEECH THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY LIPANOT CCC-SLP (OWNER/SPEECH-LANGUAGE PATHOLOGIST)
(612) 280-2923
Entity
Organization
Contact information
Practice address
13937 95TH AVE N, MAPLE GROVE, MN 55369-8933
(612) 424-2701
Mailing address
13937 95TH AVE N, MAPLE GROVE, MN 55369-8933
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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