| Doctor Name: | MRS. KATHLEEN AGNES CLIFTON |
| NPI Number: | 1679720601 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS CCC-SLP |
| License Number: | SP8713 |
| Business Practice Address: | 2530 Douglas Blvd Ste 130 Roseville, CA - 956613990 |
| Business Phone Number: | 9165210575 |
| Business Fax Number: | 9167239053 |
| Mailing Address: | Po Box 432, CITRUS HEIGHTS |
| State: | CA |
| Postal Code: | 95611 |
| Phone Number: | 9165210575 |
| Fax Number: | 9167239053 |
| NPI Enumeration Date: | 08/21/2008 |
| NPI Last Update Date: | 07/06/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SP8713 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| 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 |