| NPI | 1235553348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY SUCHAN TOOTHAKER Director Of Special Ed Svcs 360-653-0825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA 350661E) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60432328) |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2014-02-10 |