Provider Demographics
NPI:1881900801
Name:VERKINNES, ALAINA JEAN (MA CCC-SLP)
Entity type:Individual
Prefix:MISS
First Name:ALAINA
Middle Name:JEAN
Last Name:VERKINNES
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:604 1ST ST STE 4
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:MN
Mailing Address - Zip Code:55371-1623
Mailing Address - Country:US
Mailing Address - Phone:701-730-7051
Mailing Address - Fax:
Practice Address - Street 1:604 1ST ST STE 4
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:MN
Practice Address - Zip Code:55371-1623
Practice Address - Country:US
Practice Address - Phone:701-730-7051
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-27
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1136235Z00000X
235Z00000X
MN8675235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN8675OtherMN LICENSE
ND1136OtherND LICENSE