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Active NPI 1316313091 Individual Practitioner Female Practitioner

Kelsey Jean Van Vickle

Speech-Language Pathologist • Roseville, MN

Professional Overview & Biography Verified Profile Summary

Kelsey Van Vickle is a registered healthcare professional specializing in Speech-Language Pathologist in Roseville, MN. Practice services are available at 1935 COUNTY ROAD B2 W STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1935 County Road B2 W Ste 100

Roseville, MN 551132722

Telephone 6516364155
Fax 6516363595
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Roseville, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.7 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
16 Specialists

Practicing in Roseville, 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 9542

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

4 Associated Practitioners
Catherine Carlson , APRN, CPNP

Nurse Practitioner - Pediatrics

NPI 1245625664

Advanced Practice Registered Nurse, Certified Pediatric Nurse Practitioner

Ruth Anderson-Benge

Speech-Language Pathologist

NPI 1407333461
Alissa Berthiaume

Speech-Language Pathologist

NPI 1548674195
Kathleen Wagner

Speech-Language Pathologist

NPI 1841728581

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 17, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 17, 2015

Registered at 1935 COUNTY ROAD B2 W STE 100, ROSEVILLE, MN 551132722 (Tel: 6516364155)

📍
Updated Business Mailing Address August 17, 2015

Registered at 1947 STINSON BLVD, MINNEAPOLIS, MN 554184820 (Tel: 6122294087)

👤
Provider Name / Credentials Updated August 17, 2015

Recorded as KELSEY VAN VICKLE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2015

Speech-Language Pathologist (License #9542 in MN)

🟢
Initial NPI Registration & Enumeration August 17, 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: 1316313091
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 17, 2015
Last Update: August 17, 2015
Sole Proprietor: No

Mailing Address

1947 Stinson Blvd

Minneapolis, MN 554184820

Phone: 6122294087

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

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