Basic Information
| Provider Information | |||||||||
| NPI: | 1851782171 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LIMBERG | ||||||||
| FirstName: | KATHRYN | ||||||||
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| Credential: | M.S., CCC-SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 209 MCINTOSH E | ||||||||
| Address2: | |||||||||
| City: | LA CRESCENT | ||||||||
| State: | MN | ||||||||
| PostalCode: | 559471818 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6083852638 | ||||||||
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| Practice Location | |||||||||
| Address1: | 66 SHADY OAK CT | ||||||||
| Address2: | |||||||||
| City: | WINONA | ||||||||
| State: | MN | ||||||||
| PostalCode: | 559876034 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6087894800 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/09/2015 | ||||||||
| LastUpdateDate: | 02/24/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | 3817-154 | WI | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | 235Z00000X | 9147 | MN | N | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.