Doctor Name: | KRISTIN LEE SKADSBERG |
NPI Number: | 1386069581 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 407 E 3rd St Essentia Health St Mary's Medical Center Duluth, MN - 558051950 |
Business Phone Number: | 2187864000 |
Business Fax Number: | |
Mailing Address: | 407 E 3rd St, Essentia Health St Mary's Medical Center DULUTH |
State: | MN |
Postal Code: | 558051950 |
Phone Number: | 2187864000 |
Fax Number: | |
NPI Enumeration Date: | 02/25/2014 |
NPI Last Update Date: | 10/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |