Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jack D. Avery, CCC/SLP

Individual provider Speech-Language Pathologist · NPI 1306930086

Jack D. Avery, CCC/SLP is a Speech-Language Pathologist in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
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Practice location Partly verified

Some contact details are missing from the federal record.

Minneapolis Vamc 1 Veterans Dr
Minneapolis, MN 55417
Phone: (612) 467-5289
Fax: (612) 467-2144
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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 5938 (MN)

Record details

NPI number1306930086
Entity typeIndividual (Type 1)
GenderMale
Credentials CCC/SLP
Sole proprietorNo
NPI enumeratedOctober 3, 2006
Last updated in NPPESJuly 8, 2007
Mailing addressMinneapolis Vamc, 1 Veterans Drive, Minneapolis, MN 55417

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