Doctor Name: | MS. TERRY ANN SACKS |
NPI Number: | 1093836355 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA CCC LSP |
License Number: | LL00003983 |
Business Practice Address: | 516 High St. Bellingham, WA - 982259078 |
Business Phone Number: | 3606503196 |
Business Fax Number: | 3606502843 |
Mailing Address: | 516 High St, BELLINGHAM |
State: | WA |
Postal Code: | 982259078 |
Phone Number: | 3606503196 |
Fax Number: | 3606502843 |
NPI Enumeration Date: | 04/03/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | LL00003983 |
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 |