| Organization Name: | PEDIATRIC SPEECH & LANG ASSOCS |
| NPI Number: | 1437142874 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NANCY M LESTZ (OWNER/SLP) |
| Mailing Address: | 710 Nw Juniper St Suite 110 Issaquah |
| State: | WA US |
| Postal Code: | 980272717 |
| Phone Number: | 4253922631 |
| Fax Number: | 4253924631 |
| NPI Enumeration Date: | 08/30/2005 |
| NPI Last Update Date: | 06/23/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | LL00001411 |
| 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 |