Individual provider · Type 1 NPI

Tannajean M. Bubalo, MS-CCC, SLP

Speech-Language Pathologist · Anoka, MN

NPI number 1275460727 Active

Practice location

2727 N Ferry St
Anoka, MN 55303-1650

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X343640 (MN)

Speech-Language Pathologist: 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, resonan…

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About NPI 1275460727

Tannajean M. Bubalo, MS-CCC, SLP's National Provider Identifier is 1275460727, issued on May 7, 2026. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Anoka, MN. The record was last updated on May 7, 2026.