Ketterling, Heather Marie

Ketterling, Heather Marie is an individual health care provider with primary practice located at 8100 Penn Ave S Ste 169 , Minneapolis MN 55431-1325. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Ketterling, Heather Marie can be contacted via phone (612) 216-3527.

Contact Information

Primary practice address
8100 Penn Ave S Ste 169 Minneapolis MN 55431-1325
Phone: (612) 216-3527
Fax: (612) 216-2727
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 7265 Minnesota

Profile Details

NPI number 1659424323
LBN Legal business name Ketterling, Heather Marie
Credentials MS CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Jun 21st, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659424323 NPPES
Minnesota Other 4600884 MEDICA
Minnesota Other 211G2KE MEDICA

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