Katie Iverson, M.A. CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Colby, WI
NPI 1992991756 · NPPES record last updated Oct 18, 2012
Key facts
- NPI
- 1992991756
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 3016-154 (WI)
- Practice address
- 702 W Dolf St
Colby, WI 54421-9604 - Phone
- (715) 223-2352
- NPI assigned
- Sep 14, 2007
- 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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3016-154 | WI | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3016-154 | WI | Yes |
Addresses
Primary practice location
702 W Dolf St
Colby, WI 54421-9604
Mailing address
1008 Landfried Ave
Mosinee, WI 54455-1525
Phone (715) 821-9220
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992991756 | Medicaid | WI |
Other providers in Colby, WI
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- Healthview Eye Care Center, SC
- Jill Frances Heier
- Tanya Kausch Hoerneman
- Samantha Shade Holman
- Ashley Kaiser
- Karla Kimlicka
- Paula Kay Kobs
- Amy Koch
- Mayro R. Kubista
All providers in Colby, 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 Oct 18, 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.