Widestrom, Katherine

Widestrom, Katherine is an individual health care provider with primary practice located at 4010 W 65Th St Suite 105, Edina MN 55435-1721. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Widestrom, Katherine can be contacted via phone (952) 285-2840.

Contact Information

Primary practice address
4010 W 65Th St Suite 105 Edina MN 55435-1721
Phone: (952) 285-2840
Fax: (952) 285-2830
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 7196 Minnesota

Profile Details

NPI number 1699776252
LBN Legal business name Widestrom, Katherine
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2005
Last updated Mar 18th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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