ANNA UDENBERG (NPI# 1053968537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053968537 |
Entity Type | Individual |
Full Name | ANNA UDENBERG |
Practice Address |
2495 Maplewood Dr Ste 313 Maplewood MN 55109-1985 |
Mailing Address |
2078 Lincoln Ave Lowr Unit Saint Paul MN 55105-1043 |
Practice Telephone | 6517708884 |
Enumeration Date | 2019-08-20 |
Last Update Date | 2019-08-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 235Z00000X | Speech-Language Pathologist | 10198 | MN | Speech, Language and Hearing Service Providers |
Street Address |
2495 MAPLEWOOD DR STE 313 |
City | MAPLEWOOD |
State | MN |
Zip Code | 55109-1985 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215024468 | Interactive Therapy Services, Inc. | Speech-Language Pathologist | 2495 Maplewood Dr Ste 313, Maplewood, MN 55109-1913 | 2006-10-09 |
1639701204 | Alayna Marie Mccawley | Occupational Therapist | 2495 Maplewood Dr Ste 313, Maplewood, MN 55109-1985 | 2020-02-11 |
1326684556 | Laura Lea Jaeger | Physical Therapist | 2495 Maplewood Dr Ste 313, Maplewood, MN 55109-1985 | 2019-11-22 |
1205319365 | Julie Swedburg | Speech-Language Pathologist | 2495 Maplewood Dr Ste 313, Maplewood, MN 55109-1985 | 2018-09-13 |
1467933937 | Trista Lynn Moore | Physical Therapist | 2495 Maplewood Dr Ste 313, Maplewood, MN 55109-1985 | 2018-08-23 |
1720589161 | Kelly Marie Widule | Occupational Therapist | 2495 Maplewood Dr Ste 313, Maplewood, MN 55109 | 2018-02-21 |
1841658333 | Colleen Woyach | Speech-Language Pathologist | 2495 Maplewood Dr Ste 313, Maplewood, MN 55109-1985 | 2016-01-29 |
1083005664 | Interactive Therapy Services of Minnesota Inc | Speech-Language Pathologist | 2495 Maplewood Dr Ste 313, Maplewood, MN 55109-1985 | 2015-02-18 |
1851691372 | Stacey Ehrhardt Koenigsfeld | Speech-Language Pathologist | 2495 Maplewood Dr Ste 313, Maplewood, MN 55109-1985 | 2010-11-01 |
1457584047 | Brooke Ann Ghanbarzadeh | Speech-Language Pathologist | 2495 Maplewood Dr Ste 313, Maplewood, MN 55109-1985 | 2009-08-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366063828 | Jodi May Begordis | Registered Nurse | 2586 7th Ave East, Suite 302, North St Paul, MN 55109 | 2020-05-06 |
1467917146 | Alejandro Diez Freire | Social Worker | 2468 Germain St, Maplewood, MN 55109 | 2019-02-06 |
1679099667 | Rochelle Marie Clarke | Registered Nurse | 2586 7th Ave East Suite 302, North Saint Paul, MN 55109 | 2017-08-21 |
1497298210 | Salams Care Residential, LLC | Home Health | 2240 Ide Ct, Maplewood, MN 55109 | 2016-11-28 |
1093199630 | Garry Allen | Psychologist | 2345 Ariel St North Mail Stop 13601a, Maplewood, MN 55109 | 2015-07-14 |
1700264751 | Matthew Seng Thao | Student in an Organized Health Care Education/Training Program | 1470 Gervais Ave, Maplewood, MN 55109 | 2015-05-11 |
1326458340 | Chong Chang | Counselor | 1705 Cope Ave E Ste I, Maplewood, MN 55109 | 2014-04-29 |
1619396488 | Leah Anne Downey | Occupational Therapist | 2399 Ariel St. N., Children's Theraplay, LLC, Maplewood, MN 55109 | 2014-04-09 |
1356765440 | Group Health Plan, Inc | Clinic/Center | 2520 12th Ave E, North St Paul, MN 55109 | 2014-02-10 |
1336560275 | Veneman Dental Care, Pa | Dentist | 1774 Cope Ave, Suite 110, Maplewood, MN 55109 | 2013-12-19 |
Find all providers in zip 55109 |
Taxonomy Code | 235Z00000X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Speech-Language Pathologist |
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285250803 | Caitlin Lennox | Speech-Language Pathologist | 19 Overlook Ter, Maplewood, NJ 07040-3607 | 2020-06-19 |
1497316632 | Anna Rose Morris | Speech-Language Pathologist | 2395 Ariel St N Ste B, Maplewood, MN 55109-2248 | 2019-06-27 |
1215475678 | Jessica Susan Kuehlwein | Speech-Language Pathologist | 2218 Beam Ave, Maplewood, MN 55109-1404 | 2017-02-06 |
1225587686 | Lara Ilysse Jacobs | Speech-Language Pathologist | 23 Hoffman St, Maplewood, NJ 07040-1113 | 2016-09-27 |
1992175418 | Amy Marie Lafleur | Speech-Language Pathologist | 483 Valley St, Apt 2l, Maplewood, NJ 07040-1385 | 2015-09-26 |
1811238371 | Leah D Ferencz | Speech-Language Pathologist | 2 Saint Lawrence Ave, Maplewood, NJ 07040-1118 | 2013-03-08 |
1457602153 | Rachel Goldman | Speech-Language Pathologist | 25 Clinton Ave, Maplewood, NJ 07040-2128 | 2012-09-21 |
1295051753 | Jill Kathleen Barker | Speech-Language Pathologist | 7323 Gayola Pl, Maplewood, MO 63143-2205 | 2010-04-08 |
1821237538 | Kylee Williamson | Speech-Language Pathologist | 1060 Sterling St N, Maplewood, MN 55119-3611 | 2009-02-19 |
1881852341 | Robin Scheib | Speech-Language Pathologist | 28 Berkshire Rd, Maplewood, NJ 07040-1430 | 2008-05-30 |
Find all providers in MAPLEWOOD |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.