Individual provider · Type 1 NPI

Katlyn Antonia Engebretsen, MS, CCC-SLP

Student in an Organized Health Care Education/Training Program · Council Bluffs, IA

NPI number 1275966103 Active

Practice location

933 E Pierce St
Council Bluffs, IA 51503-4626

Call (712) 396-4317 Map

Mailing address

8513 S 46th St
Omaha, NE 68157-2619

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X002327 (NE)

Student in an Organized Health Care Education/Training Program: 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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About NPI 1275966103

Katlyn Antonia Engebretsen, MS, CCC-SLP's National Provider Identifier is 1275966103, issued on Aug 14, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Council Bluffs, IA. The record was last updated on Oct 4, 2016.