Katherine Widestrom in Edina - Speech-language Pathologist
Katherine Widestrom - NPI 1699776252
Katherine Widestrom is a Speech-language Pathologist in Edina, Minnesota. Katherine Widestrom practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Katherine Widestrom is 1699776252. The last update date is 2010-03-18.
Katherine Widestrom's current location address is 4010 W 65th St, Edina, Minnesota. You can contact this provider via phone number 9522852840 and fax number 9522852830. The mailing address for Katherine Widestrom is 4010 W 65th St, Edina, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Katherine Widestrom |
|---|---|
| Address | 4010 W 65th St, Edina, Minnesota |
| Phone Number | 9522852840 |
| Fax Number | 9522852830 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1699776252 |
|---|---|
| Provider Enumeration Date | 2005-08-04 |
| Last Updated Date | 2010-03-18 |
Provider Mailing Address Detail
| Address | 4010 W 65th St |
|---|---|
| City | Edina |
| State | Minnesota (MN) |
| Post Code | 554351721 |
| Phone Number | 9522852840 |
| Fax Number | 9522852830 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 7196 |
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Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
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What is the unique identifier code issued to Katherine Widestrom by the Centers for Medicare & Medicaid Services (CMS)?
The Katherine Widestrom has been assigned the NPI (National Provider Identifier) 1699776252. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Katherine Widestrom is physically located?
The Katherine Widestrom is situated at the following address: 4010 W 65Th St, Edina, MN 554351721.
What is Katherine Widestrom's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Katherine Widestrom is Speech-language Pathologist, and the corresponding taxonomy classification code for this specialized field is 235Z00000X.
On what date was the 1699776252 assigned to Katherine Widestrom?
The Katherine Widestrom was issued its 1699776252 on 2005-08-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Katherine Widestrom's details last updated?
The information pertaining to the Katherine Widestrom, including its address, specialty, and other details, was most recently updated on 2010-03-18.