Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1770629297 Individual Practitioner Female Practitioner

Carrie Latvala Jerylo , MS, CCC-SLP

Speech-Language Pathologist • Andover, MN

Professional Overview & Biography Verified Profile Summary

Carrie Jerylo, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Andover, MN. Practice services are available at 13750 CROSSTOWN DR NW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

13750 Crosstown Dr Nw
Suite 310

Andover, MN 553045853

Telephone 7637554275
Fax 7637554261
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Andover, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 2.8 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
72 Specialists

Practicing in Andover, MN (3097 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License MN 6292

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bluecrossblueshield
131G3JE (MN)
Commercial Insurance / Payer ID Healthpartners
HP34823 (MN)
Commercial Insurance / Payer ID Medica
46-00854 (MN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Megan Dierking

Speech-Language Pathologist

NPI 1003591652
Melissa Lonsky , CCC-SLP, OM

Speech-Language Pathologist

NPI 1013063213

Speech-Language Pathologist (Certificate of Clinical Competence), OM

Nicole Birr

Occupational Therapy Assistant

NPI 1013739234
Samantha Young

Occupational Therapist - Pediatrics

NPI 1013787001
Courtney Wagner

Speech-Language Pathologist

NPI 1023680451
Meridith Grob

Speech-Language Pathologist

NPI 1023791985

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 13750 CROSSTOWN DR NW, SUITE 310, ANDOVER, MN 553045853 (Tel: 7637554275)

📍
Updated Business Mailing Address July 08, 2007

Registered at 14060 AZTEC ST NW, ANDOVER, MN 553047443 (Tel: 7634221392)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as CARRIE JERYLO, M.S., CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Speech-Language Pathologist (License #6292 in MN)

🟢
Initial NPI Registration & Enumeration January 30, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1770629297
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 30, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

14060 Aztec St Nw

Andover, MN 553047443

Phone: 7634221392

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.