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NPI Code Detail

MEDICARE: MRS. KATHARINE RHONDA RADERMACHER MS,CCC-SLP

MEDICARE: MRS. KATHARINE RHONDA RADERMACHER 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 Pathologist7482MN
2235Z00000XSpeech-Language Pathologist19053FL
3235Z00000XSpeech-Language Pathologist531ND

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700811338
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KATHARINE RHONDA RADERMACHER MS,CCC-SLP
Provider Business Mailing Address
First Line : 146 W BEATON DR
Second Line :
City : WEST FARGO
State : ND
Zip : 58078-2657
Country : US
Telephone Number : 701-356-0062
Fax Number : 701-356-5412
Provider Business Practice Location Address
First Line : 3244 51ST ST S
Second Line :
City : FARGO
State : ND
Zip : 58104-7179
Country : US
Telephone Number : 701-261-4708
Fax Number : 701-356-5412
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2006
Last Update Date : 02/24/2025

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Directions to “ MRS. KATHARINE RHONDA RADERMACHER MS,CCC-SLP” Practice Location

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