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

Katherine Widestrom

Individual provider Speech-Language Pathologist · NPI 1699776252

Katherine Widestrom is a Speech-Language Pathologist in Champlin, Minnesota. Licensed in Minnesota. Registered with an NPI since 2005.

Licensed in
MN
In the registry since
2005

Practice location Address checks out

6025 109th Ave N
Champlin, MN 55316-3475
Phone: (763) 506-7754
Show map & directions

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 7196 (MN)

Record details

NPI number1699776252
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 4, 2005
Last updated in NPPESMay 7, 2026
Certification dateMay 7, 2026
Mailing address6025 109th Ave N, Champlin, MN 55316-3475

Other providers in Champlin