Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miranda Friederich, MACCC-SLP

Individual provider Speech-Language Pathologist · NPI 1033690615

Miranda Friederich, MACCC-SLP is a Qualified Speech Language Pathologist in Minneapolis, Minnesota. Qualified in 2017, 9 years ago. Works from 2 locations. Licensed in Minnesota.

Years since qualifying
9
Licensed in
MN
In the registry since
2018
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Practice location Address checks out

420 Delaware St SE
Minneapolis, MN 55455-0341
Phone: (612) 273-4155
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 420 Delaware St Se, Minneapolis, MN 55455-0341 — (612) 273-4155

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 10136 (MN)

Record details

NPI number1033690615
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-SLP
Sole proprietorNo
NPI enumeratedAugust 22, 2018
Last updated in NPPESNovember 5, 2025
Certification dateNovember 5, 2025
Mailing address1954 Grand Ave Apt 105, Saint Paul, MN 55105-1472

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated

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