NPI | 1750473112 |
---|---|
Doing Business As | JC SPEECH PATHOLOGY CLINIC |
Entity Type | Organization |
Authorized Contact | DEBRA ANNE CIARLO President 509-662-3762 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL00003214) |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WA LH00010914) |
Enumeration Date | 2006-09-29 |
Last Update Date | 2020-08-22 |