Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Antonio Caldwell, MED, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1093062986

Antonio Caldwell, MED, CCC-SLP is a Qualified Speech Language Pathologist in Minneapolis, Minnesota. Qualified in 2011, 15 years ago. Accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
15
Licensed in
MN
In the registry since
2012
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

3514 Lyndale Ave N
Minneapolis, MN 55412-2558
Phone: (612) 803-5038
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 9068 (MN)

Record details

NPI number1093062986
Entity typeIndividual (Type 1)
GenderMale
Credentials MED , CCC-SLP
Sole proprietorNo
NPI enumeratedAugust 9, 2012
Last updated in NPPESNovember 1, 2021
Certification dateNovember 1, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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