| Doctor Name: | MR. JOHN C THORNE |
| NPI Number: | 1174857288 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.C., CCC-SLP |
| License Number: | LL 60084988 |
| Business Practice Address: | 1959 Ne Pacific St Center On Human Development & Disability Seattle, WA - 981950001 |
| Business Phone Number: | 2065437701 |
| Business Fax Number: | |
| Mailing Address: | 3126 Portage Bay Pl E, Houseboat A SEATTLE |
| State: | WA |
| Postal Code: | 981023886 |
| Phone Number: | 2069405792 |
| Fax Number: | |
| NPI Enumeration Date: | 09/22/2009 |
| NPI Last Update Date: | 09/22/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | LL 60084988 |
| 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 |