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KALLIE MEDENWALD M.S CF-SLP
NPI 1649903451
Speech-Language Pathologist in Andover, MN

Active since July 08, 2022
1891 STATION PKWY NW, ANDOVER, MN 55304(763) 755-4275 Get Directions Write a Review

NPPES record last updated: July 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kallie Medenwald M.s Cf-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KALLIE MEDENWALD M.S CF-SLP (NPI 1649903451) is an individual speech-language pathologist provider in Andover, Minnesota, licensed in Minnesota (528371) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1649903451
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKALLIE MEDENWALDCredential: M.S CF-SLP
Location Address1891 STATION PKWY NWAndover, MN 55304-3341
Mailing Address1891 Station Pkwy NwAndover, MN 55304-3341 · (763) 755-4275
Phone(763) 755-4275
Sole ProprietorNo
Enumeration DateJuly 8, 2022
NPPES CertifiedJuly 8, 2022
✔ NPI 1649903451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in MN · 528371
Definition
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, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
1891 STATION PKWY NW, Andover, MN 55304
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEGAN DIERKING
Speech-Language Pathologist
1891 STATION PKWY NW
ANDOVER, MN 55304
Anoka County (763) 755-4275
COURTNEY WAGNER
Speech-Language Pathologist
1891 STATION PKWY NW
ANDOVER, MN 55304
Anoka County (763) 755-4275
KRISTINA DOSE MA, SLLP-CF/DE
Speech-Language Pathologist
1891 STATION PKWY NW
ANDOVER, MN 55304
Anoka County (763) 755-4275
MS. KELSEY ANNE WEGNER M.A., CCC-SLP
Speech-Language Pathologist
1891 STATION PKWY NW
ANDOVER, MN 55304
Anoka County (763) 755-4275
NICOLE MORRISSEY
Speech-Language Pathologist
1891 STATION PKWY NW
ANDOVER, MN 55304
Anoka County (763) 350-0371
ELLEN JOHNSON OTR/L
Occupational Therapist (Pediatrics)
1891 STATION PKWY NW
ANDOVER, MN 55304
Anoka County (763) 755-4275
KAYLA BRAUN
Speech-Language Pathologist
1891 STATION PKWY NW
ANDOVER, MN 55304
Anoka County (763) 755-4275
LISA MICHELLE LUKE OTR/L
Occupational Therapist
1891 STATION PKWY NW
ANDOVER, MN 55304
Anoka County (763) 755-4275

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kallie Medenwald's NPI number?

The NPI number for Kallie Medenwald is 1649903451. It was assigned to this individual provider in the NPPES registry on July 8, 2022.

Where is Kallie Medenwald located?

Kallie Medenwald practices at 1891 Station Pkwy NW, Andover, MN 55304. The listed phone number is (763) 755-4275.

What is Kallie Medenwald's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Kallie Medenwald was last updated on July 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.