Individual
KATIE ANN HINNENKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
3175 SIENNA DR S STE 103, FARGO, ND 58104-8910
(701) 532-1906
(701) 532-1896
Mailing address
3175 SIENNA DR S, STE 103, FARGO, ND 58104-8910
(701) 532-1906
(701) 532-1896
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1569
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1569
NORTH DAKOTA SLP LICENSE
ND
01
—
9892
MN SLP LICENSE
MN
Enumeration date
05/25/2017
Last updated
07/11/2022
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