Doctor Name: | JULIE M HORACE CARLSON |
NPI Number: | 1033426929 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SI60101513 |
Business Practice Address: | 8301 161st Ave Ne #203 Redmond, WA - 980523858 |
Business Phone Number: | 4258824347 |
Business Fax Number: | 4258830043 |
Mailing Address: | 8301 161st Ave Ne, #203 REDMOND |
State: | WA |
Postal Code: | 980523858 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/13/2010 |
NPI Last Update Date: | 09/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SI60101513 |
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 |