Individual
HEATHER WOUTAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP CCC
Contact information
Practice address
7233 WHIPPLE AVE NW, NORTH CANTON, OH 44720-7137
(330) 498-8200
Mailing address
2547 TANGLEWOOD DR NE, MASSILLON, OH 44646-5013
(330) 832-2188
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2008174
OH
Other
Enumeration date
06/02/2008
Last updated
06/02/2008
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