Individual
KATLYN ELIZABETH DAHLSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3305 CENTRAL PARK VILLAGE DR STE 130, EAGAN, MN 55121-7707
(651) 406-8868
Mailing address
408 CATTLE RANCH ST, DANIEL ISLAND, SC 29492
(585) 613-1448
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10172
MN
235Z00000X
Speech-Language Pathologist
4711 SPIN
SC
235Z00000X
Speech-Language Pathologist
77035
MA
Other
Enumeration date
11/23/2011
Last updated
07/13/2023
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