Riordan-Jaeschke, Kelly Ann

Riordan-Jaeschke, Kelly Ann is an individual health care provider with primary practice located at 80 Minnesota Ave , Little Canada MN 55117-1781. 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. Riordan-Jaeschke, Kelly Ann can be contacted via phone (651) 481-8040.

Contact Information

Primary practice address
80 Minnesota Ave Little Canada MN 55117-1781
Phone: (651) 481-8040
Fax: (651) 481-8649
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 7026 Minnesota

Profile Details

NPI number 1164648028
LBN Legal business name Riordan-Jaeschke, Kelly Ann
Credentials M.S. CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2007
Last updated Jul 8th, 2007 - about 18 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 1164648028 NPPES
Minnesota Other 01126361 ASHA MEMBER NUMBER
Minnesota Other 7026 ASHA MEMBER NUMBER

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