| NPI | 1700080868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN L HARESTAD President 253-460-5088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2020-08-22 |