Individual
MRS. LISA RENEE BUTCHER CLOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MM, MA
Contact information
Practice address
909 FULTON ST SE FL 4, MINNEAPOLIS, MN 55455-4800
(612) 626-5900
Mailing address
909 FULTON ST SE FL 4, MINNEAPOLIS, MN 55455-4800
(612) 626-5900
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
3167-154
WI
235Z00000X
Speech-Language Pathologist
Primary
8427
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972742096
—
MN
Enumeration date
02/12/2009
Last updated
01/07/2022
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