Individual
KATHEREINE MARIE VANDERWEYST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OWNER
Contact information
Practice address
324 BROADWAY ST STE 210, ALEXANDRIA, MN 56308-2688
(320) 815-9065
Mailing address
324 BROADWAY ST STE 210, ALEXANDRIA, MN 56308-2688
(320) 815-9065
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2835
MN
253J00000X
Foster Care Agency
1087053-1-HCBS
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10870553-1-HCBS
—
MN
Enumeration date
06/06/2017
Last updated
04/24/2026
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