Individual
KALLIE MEDENWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S CF-SLP
Contact information
Practice address
1891 STATION PKWY NW, ANDOVER, MN 55304-3341
(763) 755-4275
Mailing address
1891 STATION PKWY NW, ANDOVER, MN 55304-3341
(763) 755-4275
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
528371
MN
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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