Individual
TAMMY KOSEK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2835 W SAINT GERMAIN ST, SUITE 300, SAINT CLOUD, MN 56301-4743
(320) 259-4151
(320) 259-5707
Mailing address
2835 W SAINT GERMAIN ST, SUITE 300, SAINT CLOUD, MN 56301-4743
(320) 259-4151
(320) 259-5707
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
MN7412
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
284L4UE
BCBS PROVIDER ID
MN
01
—
41163580956301B017
CHAMPUS
MN
01
—
4600790
MEDICA PROVIDER ID
MN
01
—
HP46883
HEALTHPARTNERS ID
MN
Enumeration date
11/29/2005
Last updated
07/08/2007
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