Angela Joan Kruger, M.S. CCC-SLP

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

NPI 1669678488 · NPPES record last updated Mar 4, 2009

Key facts

NPI
1669678488
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
8221 (MN)
Practice address
612 S Sibley Ave
Litchfield, MN 55355-3340
Phone
(320) 639-4526
NPI assigned
Jun 27, 2007
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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
8221MNMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 8221 MN Yes

Addresses

Primary practice location

612 S Sibley Ave
Litchfield, MN 55355-3340

Mailing address

612 S Sibley Ave
Litchfield, MN 55355-3340
Phone (320) 639-4526

Other providers in Litchfield, MN

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

Sources for this page

Verify at the official NPI Registry.