Karr1 Colberg, M.S.T., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · River Falls, WI
NPI 1811231996 · NPPES record last updated Nov 15, 2012
Key facts
- NPI
- 1811231996
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 3710-154 (WI)
- Practice address
- 410 S 3Rd St
Web B30
River Falls, WI 54022-5010 - Phone
- (715) 425-0674
- NPI assigned
- Nov 15, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3710-154 | WI | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3710-154 | WI | Yes |
Addresses
Primary practice location
410 S 3Rd St
Web B30
River Falls, WI 54022-5010
Mailing address
410 S 3Rd St
Web B30
River Falls, WI 54022-5010
Phone (715) 425-0674
Other providers in River Falls, WI
- City of River Falls
- Matthew C Clayton
- Cleveland Family Chiropractic Center, Inc.
- Gina Rebecca Cleveland
- Joshua Ryan Cleveland
- Gary Thomas Cottrell
- Jennifer Kristen Crim
- Vincent James Crispino
- Rita Lynn Cudd
- Kelly Curtis
All providers in River Falls, WI · Speech-Language Pathologist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2012. 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.