Organization Name: | SPEECH THERAPY KIRKLAND |
NPI Number: | 1114312964 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAWN S BLOMBERG (OWNER) |
Mailing Address: | 9827 Ne 120th Pl Kirkland |
State: | WA US |
Postal Code: | 980346253 |
Phone Number: | 2069636252 |
Fax Number: | 4252724253 |
NPI Enumeration Date: | 03/30/2015 |
NPI Last Update Date: | 03/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | LL00001454 |
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 |