Doctor Name: | MRS. CAROLYN LOUISE HARESTAD |
NPI Number: | 1386783694 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | LL00001045 |
Business Practice Address: | 33515 10 Pl S 13 Cc Manning And Associates Federal Way, WA - 980037300 |
Business Phone Number: | 2538742599 |
Business Fax Number: | 2538742392 |
Mailing Address: | 33515 10th Pl S, 13 FEDERAL WAY |
State: | WA |
Postal Code: | 980037300 |
Phone Number: | 2538742599 |
Fax Number: | 2538742392 |
NPI Enumeration Date: | 02/05/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | LL00001045 |
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 |