Doctor Name: | NICHOLE MICHELLE LESSARD |
NPI Number: | 1578624565 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | LL00003505 |
Business Practice Address: | 3600 Lind Ave Sw Suite 160 Renton, WA - 980574934 |
Business Phone Number: | 4256564215 |
Business Fax Number: | |
Mailing Address: | 16308 Tiger Mountain Rd Se, ISSAQUAH |
State: | WA |
Postal Code: | 980278339 |
Phone Number: | 4254279628 |
Fax Number: | |
NPI Enumeration Date: | 12/13/2006 |
NPI Last Update Date: | 10/27/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | LL00003505 |
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 |