Individual
HEATHER KNUTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CC-A/SLP, FAAA
Contact information
Practice address
255 TERRACINA BLVD STE 201, REDLANDS, CA 92373-4881
(909) 792-8500
(909) 793-2502
Mailing address
255 TERRACINA BLVD STE 201, REDLANDS, CA 92373-4881
(909) 792-8500
(909) 793-2502
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD 2186
CA
235Z00000X
Speech-Language Pathologist
SLP 17197
CA
Other
Enumeration date
10/16/2012
Last updated
06/09/2015
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