Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1730550922 Individual Practitioner Female Practitioner

Pamela Lackram , MS, CCC-SLP

Speech-Language Pathologist • Minnetonka, MN

Professional Overview & Biography Verified Profile Summary

Pamela Lackram, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Minnetonka, MN. Practice services are available at 15265 MINNETONKA BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

15265 Minnetonka Blvd

Minnetonka, MN 553451510

Telephone 9522232506
Associated Practice Facility / Clinic
🏢 Sunnydays Therapy Inc Facility NPI 1891914412

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Minnetonka, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.6 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
108 Specialists

Practicing in Minnetonka, MN (3097 Statewide)

Telehealth Adoption Rate
1.9% 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

CMS Verified: 2020-05-08
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License MN 9335

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

40 Associated Practitioners
Nora Lind

Occupational Therapist

NPI 1003544925
Carli Halldorson

Speech-Language Pathologist

NPI 1013691286
Kirstin Peters , MS, OTR, L

Occupational Therapist

NPI 1023623790

Master of Science, Occupational Therapist Registered, L

Ann Landreville

Occupational Therapist

NPI 1023832722
Lindsay Meekin

Occupational Therapist

NPI 1043197601
Nicholas Feige

Occupational Therapist

NPI 1043719735

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location May 08, 2020

Registered at 15265 MINNETONKA BLVD, MINNETONKA, MN 553451510 (Tel: 9522232506)

📍
Updated Business Mailing Address May 08, 2020

Registered at 3543 26TH AVE S, MINNEAPOLIS, MN 554062541 (Tel: 5098443536)

👤
Provider Name / Credentials Updated May 08, 2020

Recorded as PAMELA LACKRAM, M.S., CCC-SLP

NPI Profile Active October 13, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location October 13, 2015

Registered at 11144 HILLSBORO AVE N, CHAMPLIN, MN 553163128 (Tel: 5098443536)

📍
Updated Business Mailing Address October 13, 2015

Registered at 3041 BRYANT AVE S APT 4, MINNEAPOLIS, MN 554082830 (Tel: 5098443536)

👤
Provider Name / Credentials Updated October 13, 2015

Recorded as PAMELA EATOCK, M.S., CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2015

Speech-Language Pathologist (License #9335 in MN)

🟢
Initial NPI Registration & Enumeration October 13, 2015

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: 1730550922
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 13, 2015
Last Update: May 08, 2020
Sole Proprietor: No

Mailing Address

3543 26th Ave S

Minneapolis, MN 554062541

Phone: 5098443536

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.