Doctor Name: | ALLISON GAYLE BRACKEN |
NPI Number: | 1225261969 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | LL 00003787 |
Business Practice Address: | 2205 N 45th St Unit A Seattle, WA - 981036903 |
Business Phone Number: | 2065472500 |
Business Fax Number: | |
Mailing Address: | 4847 California Ave Sw Apt 203, SEATTLE |
State: | WA |
Postal Code: | 981164470 |
Phone Number: | 2064986668 |
Fax Number: | |
NPI Enumeration Date: | 08/28/2009 |
NPI Last Update Date: | 08/28/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | LL 00003787 |
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 |