| Organization Name: | CAROL HASSEBROEK SPEECH PATHOLOGY SERVICES, LLC |
| NPI Number: | 1407238470 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CAROL ANN HASSEBROEK (OWNER/SPEECH-LANGUAGE PATHOLOGIST) |
| Mailing Address: | 5900 Oxford St Unit 2 St Louis Park |
| State: | MN US |
| Postal Code: | 554165167 |
| Phone Number: | 3162133904 |
| Fax Number: | |
| NPI Enumeration Date: | 06/25/2015 |
| NPI Last Update Date: | 06/25/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 8910 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |