Doctor Name: | DAN PALACIOS |
NPI Number: | 1932506052 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.S., CCC-SLP |
License Number: | LL 60514934 |
Business Practice Address: | 216 E 4th St Port Angeles, WA - 983623200 |
Business Phone Number: | 3604578575 |
Business Fax Number: | |
Mailing Address: | 821 W 6th St, PORT ANGELES |
State: | WA |
Postal Code: | 983632116 |
Phone Number: | 4357576721 |
Fax Number: | |
NPI Enumeration Date: | 12/04/2014 |
NPI Last Update Date: | 12/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | LL 60514934 |
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 |