KATHERINE WIDESTROM

Speech-Language Pathologist

Active Individual
NPI: 1699776252

Practice Address

4010 W 65TH ST
SUITE 105
Edina, MN 55435

Phone: (952) 285-2840

Specialties

Specialty Code Primary License
Speech-Language Pathologist 235Z00000X Yes 7196 (MN)

Frequently Asked Questions

NPI 1699776252 is the National Provider Identifier for KATHERINE WIDESTROM, a Speech-Language Pathologist provider located in Edina, MN. This NPI was enumerated on August 4, 2005.
KATHERINE WIDESTROM practices at 4010 W 65TH ST, SUITE 105, Edina, MN 55435.

Quick Facts

NPI
1699776252
Type
Individual
Enumerated
Aug 4, 2005
Last Updated
Mar 18, 2010

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