Provider Demographics
NPI:1548709363
Name:HAHN, KATIE LEE (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:KATIE
Middle Name:LEE
Last Name:HAHN
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:523 6TH ST.
Mailing Address - Street 2:PO BOX 7
Mailing Address - City:GAYLORD
Mailing Address - State:MN
Mailing Address - Zip Code:55334
Mailing Address - Country:US
Mailing Address - Phone:605-484-1837
Mailing Address - Fax:
Practice Address - Street 1:150 SAINT ANDREWS CT
Practice Address - Street 2:SUITE 310
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56001-8659
Practice Address - Country:US
Practice Address - Phone:507-388-5437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-13
Last Update Date:2017-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN9685235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist