NPI 1700353570

Renjason C Patulot, MA

Practitioner Speech-Language Pathologist Red Oak, IA

Practice location

Address: 2301 Eastern Ave, Red Oak, IA 51566-1305
Phone: (712) 623-7163
Mailing address: 400 E Coolbaugh St APT 301, Red Oak, IA 51566-2359

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 093927 (IA)

Other Speech-Language Pathologist providers in Iowa →

Registry record

NPI: 1700353570
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Oct 2018
Record last updated: 30 Oct 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.