Basic Information
| Provider Information | |||||||||
| NPI: | 1851008197 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ENGLUND-HELMEKE | ||||||||
| FirstName: | CASEY | ||||||||
| MiddleName: | ANN | ||||||||
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| Credential: | MA, CCC-SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1501 XERXES AVE N | ||||||||
| Address2: | |||||||||
| City: | MINNEAPOLIS | ||||||||
| State: | MN | ||||||||
| PostalCode: | 554112851 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6127282061 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1527 E LAKE ST | ||||||||
| Address2: | |||||||||
| City: | MINNEAPOLIS | ||||||||
| State: | MN | ||||||||
| PostalCode: | 554076700 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6127290340 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/04/2022 | ||||||||
| LastUpdateDate: | 11/04/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/04/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | 10004 | MN | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.