Doctor Name: | JASMIN WU WANG |
NPI Number: | 1194105106 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., SLP |
License Number: | 9279 |
Business Practice Address: | 13719 174th Ave Se Renton, WA - 980596502 |
Business Phone Number: | 6502729046 |
Business Fax Number: | |
Mailing Address: | 13719 174th Ave Se, RENTON |
State: | WA |
Postal Code: | 980596502 |
Phone Number: | 6502729046 |
Fax Number: | |
NPI Enumeration Date: | 06/04/2015 |
NPI Last Update Date: | 07/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 9279 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
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 |