Provider Demographics
NPI:1770707952
Name:VOEHL, ROXANNE KAE (MA)
Entity type:Individual
Prefix:MRS
First Name:ROXANNE
Middle Name:KAE
Last Name:VOEHL
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MS
Other - First Name:ROXANNE
Other - Middle Name:KAE
Other - Last Name:FLECK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:20130 LAKE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:PRIOR LAKE
Mailing Address - State:MN
Mailing Address - Zip Code:55372-7807
Mailing Address - Country:US
Mailing Address - Phone:612-232-4122
Mailing Address - Fax:
Practice Address - Street 1:14000 FAIRVIEW DR
Practice Address - Street 2:SPEECH 3RD FLOOR
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-5713
Practice Address - Country:US
Practice Address - Phone:952-993-6311
Practice Address - Fax:952-993-8601
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2009-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN7464235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist