Doctor Name: | VERNE QUALLS |
NPI Number: | 1023447141 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A., CCC-SLP |
License Number: | LL60372103 |
Business Practice Address: | 2315 162nd Avenue Ct E Sumner, WA - 983914924 |
Business Phone Number: | 5635058786 |
Business Fax Number: | |
Mailing Address: | 2315 162nd Avenue Ct E, SUMNER |
State: | WA |
Postal Code: | 983914924 |
Phone Number: | 5635058786 |
Fax Number: | |
NPI Enumeration Date: | 11/08/2013 |
NPI Last Update Date: | 11/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | LL60372103 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |