| Organization Name: | PROFESSIONAL HEARING AND SPEECH SERVICES INC |
| NPI Number: | 1700080868 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CAROLYN L HARESTAD (PRESIDENT) |
| Mailing Address: | 2607 Bridgeport Way W #1h University Place |
| State: | WA US |
| Postal Code: | 984664725 |
| Phone Number: | 2534605088 |
| Fax Number: | 2534605454 |
| NPI Enumeration Date: | 06/13/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | X |
| 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 |