Organization Name: | SHERWOOD COMMUNITY SERVICES |
NPI Number: | 1134114283 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KELLILYN MARBLE (BILLING ADMINISTRATOR) |
Mailing Address: | 402 91st Ave Ne Everett |
State: | WA US |
Postal Code: | 982051530 |
Phone Number: | 4253344071 |
Fax Number: | 4253351894 |
NPI Enumeration Date: | 09/14/2005 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | |
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 |