Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kathleen Hatke Bubolz, MA, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1750911640

Kathleen Hatke Bubolz, MA, CCC-SLP is a Speech-Language Pathologist in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2020.

Licensed in
MN
In the registry since
2020
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

800 E 28th St
Minneapolis, MN 55407-3799
Phone: (612) 863-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 10269 (MN)

Record details

NPI number1750911640
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP
Sole proprietorNo
NPI enumeratedJanuary 21, 2020
Last updated in NPPESJanuary 21, 2020
Certification dateJanuary 21, 2020

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