Doctor Name: | MRS. RUTH ANN HACKENBRACHT |
NPI Number: | 1770547283 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC-SLP |
License Number: | LL00002761 |
Business Practice Address: | 710 Nw Juniper St Suite 108 Issaquah, WA - 980272717 |
Business Phone Number: | 4253924965 |
Business Fax Number: | |
Mailing Address: | 10410 316th Ave Ne, CARNATION |
State: | WA |
Postal Code: | 980149733 |
Phone Number: | 4257880820 |
Fax Number: | |
NPI Enumeration Date: | 04/12/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | LL00002761 |
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 |