Doctor Name: | JILL MARIE KRIZAN |
NPI Number: | 1144594524 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS.,CCC-SLP |
License Number: | LL 60244527 |
Business Practice Address: | 444 Ne Ravenna Blvd Ste 307 Seattle, WA - 981156467 |
Business Phone Number: | 2062991780 |
Business Fax Number: | 2065249836 |
Mailing Address: | 6535 111th Ave Ne, KIRKLAND |
State: | WA |
Postal Code: | 980337109 |
Phone Number: | 4257366422 |
Fax Number: | 2065249836 |
NPI Enumeration Date: | 03/01/2012 |
NPI Last Update Date: | 03/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | LL 60244527 |
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 |