Doctor Name: | MRS. LARA ELLEN OSBORN |
NPI Number: | 1376622282 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | LL00003402 |
Business Practice Address: | 1802 220th Pl Ne Sammamish, WA - 980744158 |
Business Phone Number: | 4252812244 |
Business Fax Number: | |
Mailing Address: | 1802 220th Pl Ne, SAMMAMISH |
State: | WA |
Postal Code: | 980744158 |
Phone Number: | 4252812244 |
Fax Number: | |
NPI Enumeration Date: | 11/02/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | LL00003402 |
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 |