Dutton, Kathryn Deanne

Dutton, Kathryn Deanne is an sole proprietor health care provider with primary practice located at 1010 N Davis St Ste 101 , Jacksonville FL 32209-6826. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Dutton, Kathryn Deanne can be contacted via phone (904) 355-3403.

Contact Information

Primary practice address
1010 N Davis St Ste 101 Jacksonville FL 32209-6826
Phone: (904) 355-3403
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SZ8614 Florida

Profile Details

NPI number 1255973475
LBN Legal business name Dutton, Kathryn Deanne
Credentials M.A., CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 9th, 2019
Last updated Oct 9th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255973475 NPPES
Florida MEDICAID 085375501

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