Doctor Name: | MS. NANCY DIANE RETTIG |
NPI Number: | 1700100658 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | LL00001038 |
Business Practice Address: | 8201 164th Ave Ne Suite 200 Redmond, WA - 980527604 |
Business Phone Number: | 4256296302 |
Business Fax Number: | 4256296303 |
Mailing Address: | 8201 164th Ave Ne, Suite 200 REDMOND |
State: | WA |
Postal Code: | 980527604 |
Phone Number: | 4256296302 |
Fax Number: | 4256296303 |
NPI Enumeration Date: | 03/22/2010 |
NPI Last Update Date: | 03/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | LL00001038 |
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 |