Kaitlin Patricia Anderson, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Bloomington, MN
NPI 1083380869 · NPPES record last updated Aug 25, 2021
Key facts
- NPI
- 1083380869
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 1801 American Blvd E
Bloomington, MN 55425-1232 - Phone
- (612) 861-1688
- NPI assigned
- Aug 20, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fraser | Past |
Accepting new patients | |
| Fraser Child and Family Center | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
1801 American Blvd E
Bloomington, MN 55425-1232
Mailing address
4317 29TH Ave S
Minneapolis, MN 55406-3706
Phone (612) 598-6790
Other providers in Bloomington, MN
- Carolyn Marie Anderson
- Crystal M Anderson
- David Ross Anderson
- Ellie Anderson
- Jana Anderson
- Kaitlin Wha Ran Anderson
- Karen Kay Schendel Anderson
- Kelly A Anderson
- Leif Christian Anderson
- Marquita Anderson
All providers in Bloomington, MN · Speech-Language Pathologist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.