Provider Demographics
NPI:1033121132
Name:ABEL, ANN M (AUD, CCC-A)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:M
Last Name:ABEL
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:ANN
Other - Middle Name:M
Other - Last Name:SCHARTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD, CCC-A
Mailing Address - Street 1:2211 PARK AVENUE SOUTH
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404-3753
Mailing Address - Country:US
Mailing Address - Phone:612-871-1144
Mailing Address - Fax:612-871-2012
Practice Address - Street 1:347 SMITH AVENUE NORTH
Practice Address - Street 2:SUITE 602
Practice Address - City:ST. PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102
Practice Address - Country:US
Practice Address - Phone:651-227-0821
Practice Address - Fax:651-297-6597
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2014-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN7899231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist