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

Individual provider Speech-Language Pathologist · NPI 1770899577

Katyana Marie Wiedenman, MS is a Qualified Speech Language Pathologist in Fargo, North Dakota. Qualified in 2010, 16 years ago. Practices with Kennelly Speech-Language Pathology, Ltd, a 6-clinician group and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
16
Licensed in
ND
In the registry since
2010
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

1220 Main Ave Ste 120
Fargo, ND 58103-8201
Phone: (701) 364-5433
Fax: (701) 364-2256
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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 1119 (ND)

Record details

NPI number1770899577
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS
Sole proprietorNo
NPI enumeratedAugust 31, 2010
Last updated in NPPESOctober 20, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Kennelly Speech-Language Pathology, Ltd. — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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