MRS. AMY BETH PEDERSON M.A., CCC-SLP
NPI 1083745244
Speech-Language Pathologist in Rockford, MN

Active since March 08, 2007
7006 GREENWOOD CT, ROCKFORD, MN 55373(612) 961-8310 Get Directions Write a Review

NPPES record last updated: April 1, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Amy Beth Pederson M.a., Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. AMY BETH PEDERSON M.A., CCC-SLP (NPI 1083745244) is an individual speech-language pathologist provider in Rockford, Minnesota, licensed in Minnesota (7434) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1083745244
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. AMY BETH PEDERSONCredential: M.A., CCC-SLP
Location Address7006 GREENWOOD CTRockford, MN 55373-4581
Mailing AddressPo Box 266Rockford, MN 55373-0266 · (612) 961-8310
Sole ProprietorYes
Enumeration DateMarch 8, 2007
Last NPPES UpdateApril 1, 2009
NPI 1083745244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Licenses Licensed in MN · 7434 Licensed in MN · FILE FOLDER # 389213
Definition
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.
7006 GREENWOOD CT, Rockford, MN 55373

Other Identifiers 4

Other043657090Federal Tax Id Number
Other4601172Medica Provider Number
Other5727164MN · Minnesota Tax Id #
Other146T2PEMN · Bcbs Participat. Provid.#

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amy Pederson's NPI number?

The NPI number for Amy Pederson is 1083745244. It was assigned to this individual provider in the NPPES registry on March 8, 2007.

Where is Amy Pederson located?

Amy Pederson practices at 7006 Greenwood Ct, Rockford, MN 55373. The listed phone number is (612) 961-8310.

What is Amy Pederson's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Amy Pederson was last updated on April 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.