Doctor Name: | MS. ELAINE TINA MAKI |
NPI Number: | 1104926120 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA CCC-SLP |
License Number: | LL00003719 |
Business Practice Address: | 1400 King St Suite B104 Bellingham, WA - 982296262 |
Business Phone Number: | 3602011689 |
Business Fax Number: | 3603124362 |
Mailing Address: | 1115 Sudden Vly, BELLINGHAM |
State: | WA |
Postal Code: | 982294829 |
Phone Number: | 3602011689 |
Fax Number: | 3603124362 |
NPI Enumeration Date: | 09/22/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | LL00003719 |
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 |