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Active NPI 1689898371 Individual Practitioner Female Practitioner

Stacy Leidholt , MA, CCC-SLP

Speech-Language Pathologist • Coon Rapids, MN

Professional Overview & Biography Verified Profile Summary

Stacy Leidholt, MA, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Coon Rapids, MN. Practice services are available at 300 COON RAPIDS BLVD NW STE 200 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

300 Coon Rapids Blvd Nw Ste 200

Coon Rapids, MN 554335645

Telephone 7637670854
Associated Practice Facility / Clinic
🏢 Rehabcare Group East, Llc Facility NPI 1669425823

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Coon Rapids, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.5 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
38 Specialists

Practicing in Coon Rapids, 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 7946

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.

Practice Associates & Co-Workers

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

14 Associated Practitioners
Megan Appelwick , OT

Occupational Therapist

NPI 1063716868

Occupational Therapist

Dr. Christina Wolf , DPT

Physical Therapist - Pediatrics

NPI 1073857249

Doctor of Physical Therapy

Thomas Dunn , SLP SPEECH LANGUAGE

Speech-Language Pathologist

NPI 1164610903

SLPSPEECHLANGUAGE

Marie Irvine , PTA

Physical Medicine & Rehabilitation

NPI 1184297194

Physical Therapist Assistant

Dr. Philip Simon , DPT

Physical Therapist

NPI 1194310797

Doctor of Physical Therapy

Mary Jo Theis , COTA

Occupational Therapy Assistant

NPI 1427272103

Certified Occupational Therapy Assistant

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 300 COON RAPIDS BLVD NW STE 200, COON RAPIDS, MN 554335645 (Tel: 7637670854)

📍
Updated Business Mailing Address July 08, 2007

Registered at 16870 91ST AVE N APT 218, MAPLE GROVE, MN 553115485 (Tel: 7634863584)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as STACY LEIDHOLT, MA, CCC-SLP

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

Speech-Language Pathologist (License #7946 in MN)

🟢
Initial NPI Registration & Enumeration April 12, 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: 1689898371
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 12, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

16870 91st Ave N Apt 218

Maple Grove, MN 553115485

Phone: 7634863584

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.