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NPI Code Detail

MEDICARE: MRS. KATHERINE CHAMBERLAIN MS, CCC-SLP

MEDICARE: MRS. KATHERINE CHAMBERLAIN MS, 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 Pathologist459553MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14600785OTHERMEDICA
2641671046996OTHERPREFERRED ONE
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
47992622OTHERAETNA
598G18CHOTHERMN BCBS
615665OTHERPREFERRED ONE

General Provider Information

NPI Number : 1487759072
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KATHERINE CHAMBERLAIN MS, CCC-SLP
Provider Business Mailing Address
First Line : 1250 W BROADWAY AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55411-2533
Country : US
Telephone Number : 612-668-0254
Fax Number :
Provider Business Practice Location Address
First Line : 1250 W BROADWAY AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55411-2533
Country : US
Telephone Number : 612-668-0254
Fax Number : 715-386-6119
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2006
Last Update Date : 03/18/2026

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Directions to “ MRS. KATHERINE CHAMBERLAIN MS, CCC-SLP” Practice Location

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