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JACK D. AVERY CCC/SLP
NPI 1306930086
Speech-Language Pathologist in Minneapolis, MN

Active since October 03, 2006
MINNEAPOLIS VAMC, 1 VETERANS DRIVE, MINNEAPOLIS, MN 55417(612) 467-5289(612) 467-2144 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jack D. Avery Ccc/slp NPPES

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

JACK D. AVERY CCC/SLP (NPI 1306930086) is an individual speech-language pathologist provider in Minneapolis, Minnesota, licensed in Minnesota (5938) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1306930086
Entity TypeIndividualMale
Primary Taxonomy235Z00000X
Provider Legal NameJACK D. AVERYCredential: CCC/SLP
Location AddressMINNEAPOLIS VAMC, 1 VETERANS DRIVEMinneapolis, MN 55417
Mailing AddressMinneapolis Vamc, 1 Veterans DriveMinneapolis, MN 55417 · (612) 467-5289 · Fax (612) 467-2144
Phone(612) 467-5289
Fax(612) 467-2144
Sole ProprietorNo
Enumeration DateOctober 3, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1306930086 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
License✔ Licensed in MN · 5938
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.
MINNEAPOLIS VAMC, Minneapolis, MN 55417
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Other Identifiers 2

Other5938MN · Speech Pathology License
Other01103833MN · Asha I.d. Number

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MITCHELL J DIRNBERGER DDS
Dentist (General Practice)
MINNEAPOLIS VAMC, 1 VETERANS DRIVE
MINNEAPOLIS, MN 55417
Hennepin County (612) 725-2039

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 Jack Avery's NPI number?

The NPI number for Jack Avery is 1306930086. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Jack Avery located?

Jack Avery practices at Minneapolis Vamc 1 Veterans Drive, Minneapolis, MN 55417. The listed phone number is (612) 467-5289.

What is Jack Avery'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 Jack Avery was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.