Individual provider · Type 1 NPI

Jack D. Avery, CCC/SLP

Speech-Language Pathologist · Minneapolis, MN

NPI number 1306930086 Active

Practice location

Minneapolis Vamc, 1 Veterans Drive
Minneapolis, MN 55417

Fax (612) 467-2144

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X5938 (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 1306930086

Jack D. Avery, CCC/SLP's National Provider Identifier is 1306930086, issued on Oct 3, 2006. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Minneapolis, MN. The record was last updated on Jul 8, 2007.