Catherine Jylha, CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Chisholm, MN

NPI 1245649102 · NPPES record last updated Aug 5, 2014

Key facts

NPI
1245649102
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
7013 (MN)
Practice address
321 6TH St NE
Chisholm, MN 55719-1287
Phone
(218) 254-5765
Fax
(218) 254-5767
NPI assigned
Aug 5, 2014
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
7013MNMDChiropractor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7013 MN Yes

Addresses

Primary practice location

321 6TH St NE
Chisholm, MN 55719-1287

Mailing address

321 6TH St NE
Chisholm, MN 55719-1287
Phone (218) 254-5765

Other providers in Chisholm, MN

All providers in Chisholm, MN · Speech-Language Pathologist in Minnesota

Sources for this page

Verify at the official NPI Registry.