Kristen Weidner, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Long Prairie, MN
NPI 1902255607 · NPPES record last updated Jun 3, 2016
Key facts
- NPI
- 1902255607
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 9293 (MN)
- Practice address
- 20 9TH St SE
Long Prairie, MN 56347-1404 - Phone
- (320) 732-7264
- NPI assigned
- Jun 3, 2016
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 9293 | MN | MD | Emergency Medical Services (Emergency Medicine) Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 9293 | MN | Yes |
Addresses
Primary practice location
20 9TH St SE
Long Prairie, MN 56347-1404
Mailing address
20 9TH St SE
Long Prairie, MN 56347-1404
Phone (320) 732-7264
Other providers in Long Prairie, MN
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- Paul E. Vangorp
- Patti Ann Venekamp
- Vida Vital Interpreting Delivering Access
- Willow Bridge Recovery, LLC
- Allison Winge
- Michael Winge
- Ruth Marie Wingeier
All providers in Long Prairie, 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 Jun 3, 2016. 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.