Organization
PEDIATRIC SPEECH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLINE KAY KITTERMAN MA CCC-SLP (SLP)
(515) 401-0900
Entity
Organization
Contact information
Practice address
11796 NW BROOKEFIELD CT, GRIMES, IA 50111-7202
(515) 401-0090
Mailing address
11796 NW BROOKEFIELD CT, GRIMES, IA 50111-7202
(515) 401-0090
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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