Individual
MRS. KATHERINE CHAMBERLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1250 W BROADWAY AVE, MINNEAPOLIS, MN 55411-2533
(612) 668-0254
(715) 386-6119
Mailing address
1250 W BROADWAY AVE, MINNEAPOLIS, MN 55411-2533
(612) 668-0254
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2494
WI
235Z00000X
Speech-Language Pathologist
Primary
459553
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15665
PREFERRED ONE
—
05
—
42800300
—
WI
01
—
4600785
MEDICA
—
01
—
641671046996
PREFERRED ONE
—
01
—
7992622
AETNA
—
01
—
98G18CH
MN BCBS
—
Enumeration date
09/14/2006
Last updated
03/18/2026
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