Provider Demographics
NPI:1326458522
Name:CHILDRENS SPEECH PARTNERS LLC
Entity Type:Organization
Organization Name:CHILDRENS SPEECH PARTNERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABERSON
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:612-240-8293
Mailing Address - Street 1:1650 W END BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ST LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55416-5367
Mailing Address - Country:US
Mailing Address - Phone:763-259-5754
Mailing Address - Fax:
Practice Address - Street 1:1650 W END BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:ST LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55416-5367
Practice Address - Country:US
Practice Address - Phone:763-259-5754
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-28
Last Update Date:2014-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN7880235Z00000X
MN7806235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty