Dezale, Jodi Lynn

Dezale, Jodi Lynn is an individual health care provider with primary practice located at 3915 Golden Valley Road Courage Center, Golden Valley MN 55422-4298. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Dezale, Jodi Lynn can be contacted via phone (763) 520-0714.

Contact Information

Primary practice address
3915 Golden Valley Road Courage Center Golden Valley MN 55422-4298
Phone: (763) 520-0714
Fax: (763) 520-0355
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 7929 Minnesota

Profile Details

NPI number 1962535245
LBN Legal business name Dezale, Jodi Lynn
Credentials MA CCC SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962535245 NPPES
Minnesota Other 083HIDE BCBS MINNESOTA
Minnesota Other 4600930 BCBS MINNESOTA
Minnesota Other HP56680 BCBS MINNESOTA

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