# GOOSEBERRY SPEECH THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831713403
- **Authorized official:** ANITA FLORESCA MS, CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
- **Authorized official phone:** (425) 232-9704

## Contact information

- **Practice address:** 1055 PUGET DR APT 2, EDMONDS, WA 98020-2652
- **Practice address phone:** (425) 232-9704
- **Mailing address:** 1055 PUGET DR APT 2, EDMONDS, WA 98020-2652
- **Mailing address phone:** (425) 232-9704

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QH0700X | Hearing and Speech Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/29/2020
- **Last updated:** 11/26/2022