Doctor Name: | MRS. ELIZABETH ANNE DOUCETTE |
NPI Number: | 1710213327 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 8560 |
Business Practice Address: | 445 Galtier St Saint Paul, MN - 551032358 |
Business Phone Number: | 6512241848 |
Business Fax Number: | |
Mailing Address: | 2200 E 86th St Apt 12, BLOOMINGTON |
State: | MN |
Postal Code: | 554252149 |
Phone Number: | 5074129316 |
Fax Number: | |
NPI Enumeration Date: | 11/02/2009 |
NPI Last Update Date: | 11/02/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 8560 |
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 |