Doctor Name: | MRS. ERIN SIOBHAN TULLY-CLINARD |
NPI Number: | 1922026905 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC-SLP |
License Number: | 0000003121 |
Business Practice Address: | 1220 Division Ave Tacoma, WA - 984031321 |
Business Phone Number: | 2534034437 |
Business Fax Number: | 2536275004 |
Mailing Address: | 31500 33rd Pl Sw Apt Q103, FEDERAL WAY |
State: | WA |
Postal Code: | 980235923 |
Phone Number: | 2535089394 |
Fax Number: | 2536275004 |
NPI Enumeration Date: | 07/17/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 0000003121 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
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 |