NPI 1114413077

Lisa Marie Rickert, MSCCCSLP

Practitioner Speech-Language Pathologist Coon Rapids, MN

Practice location

Address: 3111 124th Ave NW STE 123, Coon Rapids, MN 55433-4573
Phone: (763) 236-7337
Mailing address: 11604 65th Ave N, Maple Grove, MN 55369-6100

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 8381 (MN)

Other Speech-Language Pathologist providers in Minnesota →

Registry record

NPI: 1114413077
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Jul 2018
Record last updated: 3 Jul 2018

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.