Doctor Name: | MRS. CATHERINE RAE WOIDTKE |
NPI Number: | 1124449418 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 000029956 |
Business Practice Address: | 7418 Long Point Dr Nw Williams, MN - 566864501 |
Business Phone Number: | 2187837366 |
Business Fax Number: | |
Mailing Address: | 7418 Long Point Dr Nw, WILLIAMS |
State: | MN |
Postal Code: | 566864501 |
Phone Number: | 2187837366 |
Fax Number: | |
NPI Enumeration Date: | 01/03/2014 |
NPI Last Update Date: | 01/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 000029956 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ND |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |