| Doctor Name: | MS. HEIDI LYNNE BODDING |
| NPI Number: | 1609110907 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLP-CCC |
| License Number: | LL00001115 |
| Business Practice Address: | 333o Monte Villa Parkway Bothell, WA - 980218972 |
| Business Phone Number: | 4254084454 |
| Business Fax Number: | |
| Mailing Address: | 18526 186th Pl Ne, WOODINVILLE |
| State: | WA |
| Postal Code: | 980778233 |
| Phone Number: | 4257886342 |
| Fax Number: | |
| NPI Enumeration Date: | 11/27/2012 |
| NPI Last Update Date: | 11/28/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | LL00001115 |
| 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 |