| Katherine Widestrom, | |
|
6025 109th Ave N, Champlin, MN 55316-3475 | |
| (763) 506-7754 | |
| Not Available |
| Full Name | Katherine Widestrom |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 6025 109th Ave N, Champlin, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699776252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 7196 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Widestrom, 6025 109th Ave N, Champlin, MN 55316-3475 Ph: (763) 506-7754 | Katherine Widestrom, 6025 109th Ave N, Champlin, MN 55316-3475 Ph: (763) 506-7754 |
Angela Marie Campos, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7709 114th Ave N, Champlin, MN 55316 Phone: 920-988-2036 | |
Christine L Nordell, MS CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 11671 Oakview Ct, Champlin, MN 55316 Phone: 763-732-1470 | |
Wildflower Speech Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 11017 Perry Ave N, Champlin, MN 55316 Phone: 801-995-5621 | |
Amber Taylor, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 11017 Perry Ave N, Champlin, MN 55316 Phone: 612-597-2730 |