| Doctor Name: | AUDREY TOMOLA |
| NPI Number: | 1811278609 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A.,CCC-SLP |
| License Number: | LL60215255 |
| Business Practice Address: | 1010 South 336th Street Suite 210 Federal Way, WA - 98003 |
| Business Phone Number: | 8668358091 |
| Business Fax Number: | |
| Mailing Address: | 15822 26th Ave Se, MILL CREEK |
| State: | WA |
| Postal Code: | 980127888 |
| Phone Number: | 4252310356 |
| Fax Number: | |
| NPI Enumeration Date: | 09/07/2011 |
| NPI Last Update Date: | 09/07/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | LL60215255 |
| 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 |