Individual provider · Type 1 NPI

Kellie Risberg, CCC/SLP

Speech-Language Pathologist · Bloomington, MN

NPI number 1396682183 Active

Practice location

8401 Xerxes Ave S
Bloomington, MN 55431-1631

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XNone listed

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1396682183

Kellie Risberg, CCC/SLP's National Provider Identifier is 1396682183, issued on Apr 30, 2026. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Bloomington, MN. The record was last updated on Apr 30, 2026.