Individual
SUSANNE M MEULEBROECK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
100 COBBLESTONE LANE, COURAGE BURNSVILLE, BURNSVILLE, MN 55306
(952) 898-5700
(952) 898-5757
Mailing address
100 COBBLESTONE LANE, COURAGE BURNSVILLE, BURNSVILLE, MN 55306
(952) 898-5700
(952) 898-5757
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7949
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
434M9ME
BCBS MINNESOTA
—
01
—
4600926
MEDICA
—
01
—
HP56070
HEALTHPARTNERS
—
Enumeration date
05/04/2006
Last updated
07/08/2007
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