Provider Demographics
NPI:1407748056
Name:CLOUTIER, MADELINE KEO (CCC-SLP)
Entity type:Individual
Prefix:
First Name:MADELINE
Middle Name:KEO
Last Name:CLOUTIER
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7071 RARITAN ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80221-2548
Mailing Address - Country:US
Mailing Address - Phone:720-335-7160
Mailing Address - Fax:
Practice Address - Street 1:10701 MELODY DR STE 100
Practice Address - Street 2:
Practice Address - City:NORTHGLENN
Practice Address - State:CO
Practice Address - Zip Code:80234-4133
Practice Address - Country:US
Practice Address - Phone:720-872-6472
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO14529345235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist