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

Individual provider Speech-Language Pathologist · NPI 1194321109

Katelyn Jean Smith is a Speech-Language Pathologist in Vadnais Heights, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2020
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Practice location Address checks out

715 Greendale Ln
Vadnais Heights, MN 55127-3514
Phone: (651) 621-9987
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Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 10620 (MN)

Record details

NPI number1194321109
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 7, 2020
Last updated in NPPESJuly 25, 2024
Certification dateJuly 25, 2024
Mailing address715 Greendale Ln, Vadnais Heights, MN 55127-3514

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