Provider Demographics
NPI:1790797637
Name:DAUER, KATHLEEN E (MS CCC)
Entity Type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:E
Last Name:DAUER
Suffix:
Gender:F
Credentials:MS CCC
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Mailing Address - Street 1:1133 RANKIN ST
Mailing Address - Street 2:SUITE 221
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55116-3141
Mailing Address - Country:US
Mailing Address - Phone:651-222-7768
Mailing Address - Fax:651-698-8994
Practice Address - Street 1:1133 RANKIN ST
Practice Address - Street 2:SUITE 221
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55116-3141
Practice Address - Country:US
Practice Address - Phone:651-222-7768
Practice Address - Fax:651-698-8994
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-12
Last Update Date:2016-02-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN5105235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist