Individual
DEBORAH RUSKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSTCCCSLP
Contact information
Practice address
14635 PENNOCK AVE, SUITE 300, APPLE VALLEY, MN 55124-6430
(952) 997-2823
(952) 997-6931
Mailing address
4058 DEERWOOD TRL, EAGAN, MN 55122-1889
(651) 994-9644
(651) 994-8962
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7010
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4600209
MEDICA
MN
05
—
473920500
—
MN
01
—
964S9RU
BCBS
MN
01
—
HP32765
HEALTH PARTNERS
MN
Enumeration date
02/15/2007
Last updated
11/30/2015
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