Doctor Name: | MAGGIE NUESE |
NPI Number: | 1174919922 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | LL60538292 |
Business Practice Address: | 2401 Bristol Ct Sw Ste D103 Olympia, WA - 985026037 |
Business Phone Number: | 3603573339 |
Business Fax Number: | |
Mailing Address: | 812 S 6th Ave Sw, TUMWATER |
State: | WA |
Postal Code: | 985126817 |
Phone Number: | 3604029241 |
Fax Number: | |
NPI Enumeration Date: | 04/08/2015 |
NPI Last Update Date: | 04/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | LL60538292 |
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 |