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Deactivated NPI 1396094702 Deactivated / Inactive NPI Female Practitioner

Kathleen Pfaendtner , MA, CCC-SLP

Speech-Language Pathologist • Minnetonka, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kathleen Pfaendtner has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 30, 2012
NPI Deactivation Date June 12, 2025
Total Practice Duration ~13 Years of Practice (2012 – 2025)

Professional Overview & Biography Verified Profile Summary

Kathleen Pfaendtner, MA, CCC-SLP was a registered Speech-Language Pathologist practicing in Minnetonka, MN. Throughout an active medical career spanning 13 years, Kathleen Pfaendtner provided care at the practice location at 3395 PLYMOUTH RD until profile deactivation on 2025-06-12.

Practice Location & Contact Primary Location

Practice Address

3395 Plymouth Rd

Minnetonka, MN 553053765

Telephone 9529390396
Associated Practice Facility / Clinic
🏢 St. David's Center Facility NPI 1376752337

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Minnetonka, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.6 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
108 Specialists

Practicing in Minnetonka, MN (3097 Statewide)

Telehealth Adoption Rate
1.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License MN 9004

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Elizabeth Collins , LAMFT

Marriage & Family Therapist

NPI 1013083799
Angela Bierle Early , LICSW

Social Worker - Clinical

NPI 1013273010

Licensed Independent Clinical Social Worker

Katherine Shearer , PT

Physical Therapist

NPI 1023067030

Physical Therapist

Katy Cloutier , MA, CCC, SLP

Speech-Language Pathologist

NPI 1023184538

Master of Arts, Certificate of Clinical Competence, Speech-Language Pathologist

NPI 1053192898

Master of Arts, Licensed Professional Clinical Counselor

NPI 1053460055

Occupational Therapist Registered

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 12, 2025

Record deactivated on June 12, 2025

NPI Profile Active August 30, 2012

NPI status registered as active in NPPES database

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Updated Practice Location August 30, 2012

Registered at 3395 PLYMOUTH RD, MINNETONKA, MN 553053765 (Tel: 9529390396)

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Updated Business Mailing Address August 30, 2012

Registered at 3395 PLYMOUTH RD, MINNETONKA, MN 553053765 (Tel: 9529390396)

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Provider Name / Credentials Updated August 30, 2012

Recorded as KATHLEEN PFAENDTNER, MA/CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2012

Speech-Language Pathologist (License #9004 in MN)

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Initial NPI Registration & Enumeration August 30, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396094702
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 30, 2012
Last Update: August 30, 2012
Deactivation Date: June 12, 2025

Mailing Address

3395 Plymouth Rd

Minnetonka, MN 553053765

Phone: 9529390396

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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