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NPI Code Detail

MEDICARE: MISS KATIE LEE PATTON M.A, CCC-SLP

MEDICARE: MISS KATIE LEE PATTON M.A, CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistMN

General Provider Information

NPI Number : 1184936411
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS KATIE LEE PATTON M.A, CCC-SLP
Provider Business Mailing Address
First Line : 3395 PLYMOUTH RD
Second Line :
City : MINNETONKA
State : MN
Zip : 55305-3765
Country : US
Telephone Number : 952-200-9735
Fax Number :
Provider Business Practice Location Address
First Line : 3395 PLYMOUTH RD
Second Line :
City : MINNETONKA
State : MN
Zip : 55305-3765
Country : US
Telephone Number : 952-200-9735
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2010
Last Update Date : 01/21/2026

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Directions to “ MISS KATIE LEE PATTON M.A, CCC-SLP” Practice Location

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