Individual
KATHERINE RAE SKARPHOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.,CCC-SLP
Contact information
Practice address
9810 DREW AVE S APT 103, BLOOMINGTON, MN 55431-2762
(612) 257-0535
Mailing address
9810 DREW AVE S APT 103, BLOOMINGTON, MN 55431-2762
(612) 257-0535
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
19713
TX
235Z00000X
Speech-Language Pathologist
496522
MN
235Z00000X
Speech-Language Pathologist
Primary
9750
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
496522
MINNESOTA DEPARTMENT OF EDUCATION
MN
01
—
9750
MN BOARD OF EXAMINERS IN SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY
MN
Enumeration date
10/10/2016
Last updated
08/21/2024
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