Individual
MRS. JODEL CARRIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
1507 8TH AVE SE, SAINT CLOUD, MN 56304-1611
(320) 267-3286
Mailing address
1507 8TH AVE SE, SAINT CLOUD, MN 56304-1611
(320) 267-3286
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
MN7704
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41163580956301B009
CHAMPUS
MN
01
—
4600801
MEDICA PROVIDER ID
MN
01
—
497T4CA
BCBS PROVIDER ID
MN
01
—
HP46881
HEALTHPARTNERS ID
MN
Enumeration date
11/29/2005
Last updated
09/23/2025
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