| NPI | 1760520613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN J CONLEY Director 425-867-0475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL00002785) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2011-04-25 |