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Minnesota State Colleges & Universities

NPI 1215000963ActiveOrganization· Speech-Language Pathologist· Moorhead, MN

Speech-Language Pathologist in Moorhead, Minnesota, registered in NPPES in November 2006. The authorized official on file is Elaine Pyle, MS CCC SLP, Chair. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1215000963
StatusActive
Entity typeOrganization
NPI issuedNov 17, 2006
Last updated in NPPESDec 15, 2023
Certified by providerDec 15, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary235Z00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (MN)

Medicare sources and data years

Other Speech-Language Pathologist providers in Moorhead

All Speech-Language Pathologist providers in Minnesota →