| NPI | 1063175644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARRIE J PETERSEN Owner/Provider 360-230-8557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 261QA3000X Clinic/Center, Augmentative Communication | |
| Enumeration Date | 2021-10-20 |
| Last Update Date | 2023-12-20 |