Doctor Name: | MRS. LESLIE ANN IRIZARRY |
NPI Number: | 1861744765 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | LL00001600 |
Business Practice Address: | 1101 S Dash Point Rd Federal Way, WA - 980033735 |
Business Phone Number: | 2539454979 |
Business Fax Number: | |
Mailing Address: | 33330 8th Ave S, FEDERAL WAY |
State: | WA |
Postal Code: | 980036325 |
Phone Number: | 2539452086 |
Fax Number: | 2539452177 |
NPI Enumeration Date: | 10/03/2012 |
NPI Last Update Date: | 10/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | LL00001600 |
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 |