Doctor Name: | KATHRYN S CLONTZ |
NPI Number: | 1609062041 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA CCCSLP |
License Number: | 5131 |
Business Practice Address: | 919 Haywood Rd Ste 101 Dillsboro, NC - 287250000 |
Business Phone Number: | 8285861612 |
Business Fax Number: | 8285860420 |
Mailing Address: | 919 Haywood Rd, Ste 101, Po Box 396 DILLSBORO |
State: | NC |
Postal Code: | 287250396 |
Phone Number: | 8285861612 |
Fax Number: | 8285860420 |
NPI Enumeration Date: | 09/19/2007 |
NPI Last Update Date: | 09/11/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 5131 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
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 |