Lisa Clayton, ST
Individual provider Active NPI Speech-Language Pathologist · Hettinger, ND
NPI 1922192004 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1922192004
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 759 (ND)
- Practice address
- 1000 Highway 12
Hettinger, ND 58639-7530 - Phone
- (701) 567-6045
- Fax
- (701) 567-6361
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 759 | ND | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 759 | ND | Yes |
Addresses
Primary practice location
1000 Highway 12
Hettinger, ND 58639-7530
Mailing address
208 Lakeview Dr
Hettinger, ND 58639-9500
Phone (701) 567-2241
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18864 | Other | ND | BLUE CROSS OF NORTH DAKOT |
Other providers in Hettinger, ND
- Adams County Social Service Board
- Karen Wai-Kai Andres
- Brandy Beckman
- Rose Bergquist
- Charle'S Angels of Caring
- Gary William Dewhirst
- Dr Gabbert Clinical Psychologist PLLC
- William C Elder
- Encompass Therapy LLC
- Seth Wayne Fisher
All providers in Hettinger, ND · Speech-Language Pathologist in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.