STACY LEIDHOLT MA, CCC-SLP
NPI 1689898371
Speech-Language Pathologist in Coon Rapids, MN

Active since April 12, 2007
300 COON RAPIDS BLVD NW STE 200, COON RAPIDS, MN 55433(763) 767-0854 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacy Leidholt Ma, Ccc-slp NPPES

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

STACY LEIDHOLT MA, CCC-SLP (NPI 1689898371) is an individual speech-language pathologist provider in Coon Rapids, Minnesota, licensed in Minnesota (7946) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1689898371
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameSTACY LEIDHOLTCredential: MA, CCC-SLP
Location Address300 COON RAPIDS BLVD NW STE 200Coon Rapids, MN 55433-5645
Mailing Address16870 91st Ave N Apt 218Maple Grove, MN 55311-5485 · (763) 486-3584
Sole ProprietorNo
Enumeration DateApril 12, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1689898371 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 · 7946
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.
300 COON RAPIDS BLVD NW STE 200, Coon Rapids, MN 55433

Accepted Insurance

Other Providers at the Same Location NPPES 7

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

Occupational Therapist
300 COON RAPIDS BLVD NW STE 200
COON RAPIDS, MN 55433
Physical Therapist (Pediatrics)
300 COON RAPIDS BLVD NW STE 200
COON RAPIDS, MN 55433
Occupational Therapist (Pediatrics)
300 COON RAPIDS BLVD NW STE 200
COON RAPIDS, MN 55433
Occupational Therapist
300 COON RAPIDS BLVD NW STE 200
COON RAPIDS, MN 55433
Occupational Therapist
300 COON RAPIDS BLVD NW STE 200
COON RAPIDS, MN 55433
Speech-Language Pathologist
300 COON RAPIDS BLVD NW STE 200
COON RAPIDS, MN 55433
Occupational Therapist
300 COON RAPIDS BLVD NW STE 200
COON RAPIDS, MN 55433

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 Stacy Leidholt's NPI number?

The NPI number for Stacy Leidholt is 1689898371. It was assigned to this individual provider in the NPPES registry on April 12, 2007.

Where is Stacy Leidholt located?

Stacy Leidholt practices at 300 Coon Rapids Blvd NW Ste 200, Coon Rapids, MN 55433. The listed phone number is (763) 767-0854.

What is Stacy Leidholt's specialty?

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

What insurance does Stacy Leidholt accept?

Health plans from Medica list Stacy Leidholt as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stacy Leidholt 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.