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NPI 1396167987ActiveOrganization· Speech-Language Pathologist· Minneapolis, MN

Speech-Language Pathologist in Minneapolis, Minnesota, registered in NPPES in January 2014. The authorized official on file is Antonio Webb Caldwell, M.ED., CCC-SLP, President. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1396167987
StatusActive
Entity typeOrganization
NPI issuedJan 15, 2014
Last updated in NPPESNov 1, 2021
Certified by providerNov 1, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary235Z00000X9068MN

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 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 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 Minneapolis

All Speech-Language Pathologist providers in Minnesota →