Doctor Name: | COLETTE MOSS |
NPI Number: | 1134293046 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | LL00004373 |
Business Practice Address: | 5606 159th Pl Ne Redmond, WA - 980524825 |
Business Phone Number: | 4258833730 |
Business Fax Number: | |
Mailing Address: | 5606 159th Pl Ne, REDMOND |
State: | WA |
Postal Code: | 980524825 |
Phone Number: | 4258833730 |
Fax Number: | |
NPI Enumeration Date: | 11/20/2006 |
NPI Last Update Date: | 10/09/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | LL00004373 |
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 |