Doctor Name: | MS. JEAN DOROTHY LIX |
NPI Number: | 1801149257 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | LL60076412 |
Business Practice Address: | 2405 South 300th Federal Way, WA - 98003 |
Business Phone Number: | 2539454430 |
Business Fax Number: | 2539452177 |
Mailing Address: | 33330 8th Avenue South, FEDERAL WAY |
State: | WA |
Postal Code: | 98003 |
Phone Number: | 2539452086 |
Fax Number: | 2539452177 |
NPI Enumeration Date: | 10/23/2012 |
NPI Last Update Date: | 10/23/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | LL60076412 |
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 |