Doctor Name: | MRS. KATY MARIE CLOUTIER |
NPI Number: | 1023184538 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA,CCC,SLP |
License Number: | 7746 |
Business Practice Address: | 3395 Plymouth Rd Minnetonka, MN - 553053765 |
Business Phone Number: | 9529390396 |
Business Fax Number: | 9525488760 |
Mailing Address: | 11330 Chisholm Cir Ne, Unit C BLAINE |
State: | MN |
Postal Code: | 554494561 |
Phone Number: | 7637833666 |
Fax Number: | |
NPI Enumeration Date: | 11/27/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 7746 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |