Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lisa Marie Rickert, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1114413077

Lisa Marie Rickert, MS, CCC-SLP is a Speech-Language Pathologist in Coon Rapids, Minnesota. Licensed in Minnesota. Registered with an NPI since 2018.

Licensed in
MN
In the registry since
2018
What do these letters mean?
MS — Master of Science
A graduate science degree.
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

3111 124th Ave NW Ste 123
Coon Rapids, MN 55433-4573
Phone: (763) 236-7337
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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 8381 (MN)

Record details

NPI number1114413077
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedJuly 3, 2018
Last updated in NPPESJuly 3, 2018

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