Individual
KAYTLIN HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 CURVE CREST BLVD W, STILLWATER, MN 55082-6040
(651) 439-1234
Mailing address
PO BOX 1309, MINNEAPOLIS, MN 55440-1309
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10262
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10262
SLP TEMPORARY LICENSE NUMBER
MN
Enumeration date
05/31/2019
Last updated
06/05/2019
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