Provider Demographics
NPI:1861247991
Name:BABBINI, OLIVIA DIANNE (CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:OLIVIA
Middle Name:DIANNE
Last Name:BABBINI
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:931 110TH AVE NW
Mailing Address - Street 2:
Mailing Address - City:COON RAPIDS
Mailing Address - State:MN
Mailing Address - Zip Code:55448-4333
Mailing Address - Country:US
Mailing Address - Phone:612-709-4921
Mailing Address - Fax:
Practice Address - Street 1:931 110TH AVE NW
Practice Address - Street 2:
Practice Address - City:COON RAPIDS
Practice Address - State:MN
Practice Address - Zip Code:55448-4333
Practice Address - Country:US
Practice Address - Phone:612-709-4921
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-22
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN528753235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist