Provider Demographics
NPI:1821289786
Name:CLOUTHIER, STEPHEN MATHEW (DC)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:MATHEW
Last Name:CLOUTHIER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4840 W PANTHER CREEK DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77381
Mailing Address - Country:US
Mailing Address - Phone:281-419-9104
Mailing Address - Fax:281-419-8887
Practice Address - Street 1:2829 TECHNOLOGY FOREST BLVD STE 250
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77381-3913
Practice Address - Country:US
Practice Address - Phone:281-419-9104
Practice Address - Fax:281-419-8887
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-06
Last Update Date:2020-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7227111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor