Organization
ASSOCIATED SPEECH AND LANGUAGE SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET JACOBS MA CCC (CHIEF MANAGER AND CO OWNER)
(651) 639-0942
Entity
Organization
Contact information
Practice address
561 W 7TH ST, ST PAUL, MN 55102
(651) 225-4558
(651) 225-9474
Mailing address
561 W 7TH ST, ST PAUL, MN 55102
(651) 225-4558
(651) 225-9474
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5G054AS
BCBS
MN
Enumeration date
06/11/2006
Last updated
07/13/2015
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