| Doctor Name: | KATHLEEN PATRICIA CLUTTER |
| NPI Number: | 1710026901 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A. |
| License Number: | SI00004315 |
| Business Practice Address: | 17311 135th Ave Ne Suite C-200 Woodinville, WA - 980723519 |
| Business Phone Number: | 4254867710 |
| Business Fax Number: | 4254836059 |
| Mailing Address: | 16432 2nd Ave Se, MILL CREEK |
| State: | WA |
| Postal Code: | 980124954 |
| Phone Number: | 4259492434 |
| Fax Number: | |
| NPI Enumeration Date: | 02/05/2007 |
| NPI Last Update Date: | 05/24/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SI00004315 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| 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 |