Brenna Dedeker
NPI 1417313859ActiveIndividual· Speech-Language Pathologist· Oakdale, MN
Speech-Language Pathologist in Oakdale, Minnesota, licensed in MN, with an NPI issued in January 2016. Enrolled in Medicare as practitioner - qualified speech language pathologist.
Overview
| NPI | 1417313859 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jan 14, 2016 |
| Last updated in NPPES | Oct 7, 2021 |
| Certified by provider | Oct 7, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 9605 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (MN) |
|---|
Other speech-language pathologists in Oakdale
- 1164588307
- 1407581119
- 1740113745
- 1750920195
- 1821154063
- 1508093576
- 1558285866
- 1992444863
- 1154643294