NPI 1083749964

Kelly Carlson, MACCCSLP

Practitioner Speech-Language Pathologist Eagan, MN

Practice location

Address: 2795 Pilot Knob Rd Suite 100, Eagan, MN 55121-1119
Phone: (651) 994-9644
Fax: (651) 994-8962
Mailing address: 4058 Deerwood Trl, Eagan, MN 55122-1889

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 7663 (MN)

Other Speech-Language Pathologist providers in Minnesota →

Registry record

NPI: 1083749964
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Feb 2007
Record last updated: 9 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.