Individual
KAELA FEDDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
9346 OAK AVE, WACONIA, MN 55387-9422
(712) 330-7349
Mailing address
1832 SPRING CREEK DR, CARVER, MN 55315-4573
(712) 330-7349
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
528939
MN
235Z00000X
Speech-Language Pathologist
Primary
—
CO
Other
Enumeration date
02/12/2020
Last updated
07/02/2024
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