| NPI | 1053770990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMELIA B DAVIS Speech Language Pathologist 206-251-0191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 109915) |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: TX 37590) |
| Enumeration Date | 2016-02-21 |
| Last Update Date | 2016-02-21 |