Individual
KATHRYN A ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1467 LAKE ST S STE 300, FOREST LAKE, MN 55025-2681
(651) 241-3840
(651) 241-3733
Mailing address
1467 LAKE ST S STE 300, FOREST LAKE, MN 55025-2681
(651) 241-3840
(651) 241-3733
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7896
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
188P7FR
BCBS
MN
01
—
HP53310
HEALTHPARTNERS
MN
Enumeration date
10/02/2006
Last updated
09/07/2022
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