| NPI | 1750856415 |
|---|---|
| Doing Business As | NORTHSHORE PEDIATRIC SPEECH AND LANGUAGE THERAPY |
| Entity Type | Organization |
| Authorized Contact | ABIGAIL DESJARDIEN Speech Language Pathologist 425-419-6199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60051932) |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2018-10-09 |