Jennifer Eileen Haggerty, M.S., CCC-SLP
Speech-Language Pathologist, in Mendota Heights, MN. Individual provider (NPI-1).
NPI number1912787359
StatusActive
Last updated in NPPESOct 3, 2023
Details
- NPI
- 1912787359
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Eileen Haggerty
- Credential
- M.S., CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 3, 2023
- Certification date
- Oct 3, 2023
- Last updated
- Oct 3, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 528404 | MN | Yes |
Practice location
1160 Centre Pointe Dr Ste 7Mendota Heights, MN 55120-1377
Phone 612-430-6149
Mailing address
47 Spruce Pl Unit 319Minneapolis, MN 55403-6108
Phone 219-707-1388
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Speech-Language Pathologist providers in Mendota Heights, MN
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- Emily Asenath Fisk, MA CCC-SLPNPI 1962339929
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- Michelle Rose Hulbert-Tran, MA CCC-SLPNPI 1255268215
- Theresa HultingNPI 1881521821
All 17 Speech-Language Pathologist providers in Mendota Heights · All 629 providers in Mendota Heights
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