Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Autumn Kallock

Individual provider Speech-Language Pathologist · NPI 1538905427

Autumn Kallock is a Speech-Language Pathologist in East Grand Forks, Minnesota. Works from 3 locations. Licensed in North Dakota.

Licensed in
ND
In the registry since
2024

Practice location Address checks out

1420 4th Ave NW
East Grand Forks, MN 56721-1522
Phone: (218) 773-3494
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2200 Library Cir, Grand Forks, ND 58201-6326 — (701) 757-2155
  • 2951 S 34th St, Grand Forks, ND 58201-6061 — (701) 772-3851

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 2656 (ND)

Record details

NPI number1538905427
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 1, 2024
Last updated in NPPESApril 14, 2026
Certification dateApril 14, 2026

Other providers in East Grand Forks