| Doctor Name: | LISA CLAYTON |
| NPI Number: | 1922192004 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ST |
| License Number: | 759 |
| Business Practice Address: | 1000 Highway 12 Hettinger, ND - 586397530 |
| Business Phone Number: | 7015676045 |
| Business Fax Number: | 7015676361 |
| Mailing Address: | 208 Lakeview Dr, HETTINGER |
| State: | ND |
| Postal Code: | 586399500 |
| Phone Number: | 7015672241 |
| Fax Number: | |
| NPI Enumeration Date: | 10/03/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 759 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ND |
| 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 |