| Mrs Katy Marie Cloutier, MA,CCC,SLP | |
| 
					3395 Plymouth Rd, Minnetonka, MN 55305-3765  | |
| (952) 939-0396 | |
| (952) 548-8760 | 
| Full Name | Mrs Katy Marie Cloutier | 
|---|---|
| Gender | Female | 
| Speciality | Speech-language Pathologist | 
| Location | 3395 Plymouth Rd, Minnetonka, Minnesota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1023184538 | NPI | - | NPPES | 
| 7746 | Medicaid | MN | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 7746 (Minnesota) | Primary | 
| Provider Name | Kids Abilities, Inc | 
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice | 
| Provider Identifiers | NPI Number: 1154455616 PECOS PAC ID: 2264749993 Enrollment ID: O20220711000389  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Katy Marie Cloutier, MA,CCC,SLP 11330 Chisholm Cir Ne, Unit C, Blaine, MN 55449-4561 Ph: (763) 783-3666  | Mrs Katy Marie Cloutier, MA,CCC,SLP 3395 Plymouth Rd, Minnetonka, MN 55305-3765 Ph: (952) 939-0396  | 
Kristyne Hass,  Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 500 Carlson Pkwy, Minnetonka, MN 55305 Phone: 877-407-3422 Fax: 877-407-4329  | |
Sara Gotlieb Azorsky, MS, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 12421 Bent Tree Ln, Minnetonka, MN 55305 Phone: 651-503-0018  | |
Linda L Richards, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 500 Carlson Pkwy, Minnetonka, MN 55305 Phone: 877-407-3422 Fax: 877-407-4329  | |
Alexa Ronayne,  Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 10653 Wayzata Blvd, Minnetonka, MN 55305 Phone: 612-364-1901  | |
Elizabeth Marie Deacon,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3395 Plymouth Rd, Minnetonka, MN 55305 Phone: 952-939-0396  | |
Bertone Speech Language & Communication Services Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 11606 Wayzata Blvd, Minnetonka, MN 55305 Phone: 952-544-0349  |