Doctor Name: | MS. ELLEN RENE INGHAM |
NPI Number: | 1639236441 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC-A |
License Number: | LD00003590 |
Business Practice Address: | 9218 151st Street Ct E Puyallup, WA - 983756997 |
Business Phone Number: | 2533323002 |
Business Fax Number: | |
Mailing Address: | 9218 151st Street Ct E, PUYALLUP |
State: | WA |
Postal Code: | 983756997 |
Phone Number: | 2533323002 |
Fax Number: | |
NPI Enumeration Date: | 01/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | LD00003590 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |