Individual provider · Type 1 NPI

Lisa Kerstin Channon I

Speech-Language Pathologist · Mahtomedi, MN

NPI number 1912846510 Active

Practice location

666 Warner Ave S
Mahtomedi, MN 55115-6882

Call (651) 407-2309 Map

Mailing address

9 Lacosta Cir
Dellwood, MN 55110-1223

Specialties and licenses

Taxonomy	Code	License
Speech-Language Pathologist Primary	235Z00000X	None listed

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 1912846510

Lisa Kerstin Channon I's National Provider Identifier is 1912846510, issued on Mar 27, 2026. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Mahtomedi, MN. The record was last updated on Mar 27, 2026.