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Mrs. Katlyn Antonia Engebretsen, MS,CCC-SLP
Student in an Organized Health Care Education/Training Program in Council Bluffs, Iowa
NPI 1275966103

Katlyn Antonia Engebretsen is a Student in an Organized Health Care Education/Training Program based in Omaha, IA. Katlyn Antonia Engebretsen practices in Council Bluffs, IA and has the professional credentials of MS,CCC-SLP. The NPI Number for Katlyn Antonia Engebretsen is 1275966103 and holds a License No. 002327 (Iowa).

The current practice location address for Katlyn Antonia Engebretsen is 933 E Pierce St, Council Bluffs, IA and can be reached out via phone at 712-396-4317.

Location: 933 E Pierce St, Council Bluffs, IA, 68157-2619
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275966103
Provider Name
Katlyn Antonia Engebretsen
Credential
MS,CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
933 E Pierce St, Council Bluffs, IA, 68157-2619
Phone Number
712-396-4317
Fax Number
Provider Enumeration Date
08/14/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
933 E Pierce St
City
Council Bluffs
State
Iowa
Zip
51503-4626
Phone Number
712-396-4317
Fax Number
person
Provider Business Mailing Address Details
Address
933 E Pierce St
City
Council Bluffs
State
Iowa
Zip
51503-4626
Phone Number
712-396-4317
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
002327 (Nebraska)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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