| Doctor Name: | KATIE ANN MALONE KROULIK |
| NPI Number: | 1659655272 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLP |
| License Number: | 8809 |
| Business Practice Address: | 7727 Portland Ave Richfield, MN - 554234320 |
| Business Phone Number: | 6128611691 |
| Business Fax Number: | |
| Mailing Address: | 3527 Pleasant Ave Apt 3, MINNEAPOLIS |
| State: | MN |
| Postal Code: | 554084349 |
| Phone Number: | 6122219687 |
| Fax Number: | |
| NPI Enumeration Date: | 09/30/2011 |
| NPI Last Update Date: | 09/30/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 8809 |
| 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 |