Doctor Name: | KATHARINE KLOTZBACH |
NPI Number: | 1306241385 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 9387 |
Business Practice Address: | 3001 Harbor Ln N Suite 120 Plymouth, MN - 554475102 |
Business Phone Number: | 7635513652 |
Business Fax Number: | 7635511334 |
Mailing Address: | 3490 Lexington Ave N, Suite 305 SHOREVIEW |
State: | MN |
Postal Code: | 551268074 |
Phone Number: | 6516390942 |
Fax Number: | 6516391718 |
NPI Enumeration Date: | 11/03/2014 |
NPI Last Update Date: | 11/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 9387 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
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 |