Doctor Name: | MRS. BARBARA NOWICKI |
NPI Number: | 1619312212 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | LL00001756 |
Business Practice Address: | 411 S Spartan Ave Forks, WA - 983319028 |
Business Phone Number: | 3603746262 |
Business Fax Number: | 3603742363 |
Mailing Address: | 411 S Spartan Ave, FORKS |
State: | WA |
Postal Code: | 983319028 |
Phone Number: | 3603746262 |
Fax Number: | 3603742363 |
NPI Enumeration Date: | 05/08/2013 |
NPI Last Update Date: | 05/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | LL00001756 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |