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Jack D. Avery, CCC/SLP
Speech-Language Pathologist in Minneapolis, Minnesota
NPI 1306930086

Jack D. Avery is a Speech-Language Pathologist based in Minneapolis, MN. Jack D. Avery practices in Minneapolis, MN and has the professional credentials of CCC/SLP. The NPI Number for Jack D. Avery is 1306930086 and holds a License No. 5938 (Minnesota).

The current practice location address for Jack D. Avery is Minneapolis Vamc, Minneapolis, MN and can be reached out via phone at 612-467-5289 and via fax at 612-467-2144.

Location: Minneapolis Vamc, Minneapolis, MN, 55417
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306930086
Provider Name
Jack D. Avery
Credential
CCC/SLP
Provider Entity Type
Individual
Gender
Male
Address
Minneapolis Vamc, Minneapolis, MN, 55417
Phone Number
612-467-5289
Fax Number
612-467-2144
Provider Enumeration Date
10/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5938 01 MN SPEECH PATHOLOGY LICENSE
01103833 01 MN ASHA I.D. NUMBER
institution
Provider Business Practice Location Address Details
Address
Minneapolis Vamc
City
Minneapolis
State
Minnesota
Zip
55417
Phone Number
612-467-5289
Fax Number
612-467-2144
person
Provider Business Mailing Address Details
Address
Minneapolis Vamc
City
Minneapolis
State
Minnesota
Zip
55417
Phone Number
612-467-5289
Fax Number
612-467-2144
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Speech-Language Pathologist
Speciality
-
Taxonomy
235Z00000X
License No.
5938 (Minnesota)
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
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