Doctor Name: | JOHN DAVID SLOAN |
NPI Number: | 1275644403 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS CCC-SLP |
License Number: | 12659 |
Business Practice Address: | 12607 Se Mill Plain Blvd Vancouver, WA - 986846055 |
Business Phone Number: | 3604186001 |
Business Fax Number: | |
Mailing Address: | 13891 Se Rogers Ln, CLACKAMAS |
State: | OR |
Postal Code: | 970156424 |
Phone Number: | 5036588786 |
Fax Number: | |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 12659 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OR |
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 |