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Individual

MRS. CHRISTY MARIE BISCONER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
647 GUN CLUB RD, C/O DYNAMIC SPEECH & LANGUAGE THERAPY LLC, WOODLAND, WA 98674-8361
(360) 841-8096
(360) 326-1599
Mailing address
647 GUN CLUB RD, WOODLAND, WA 98674-8361
(360) 841-8096
(360) 326-1599

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
60983851
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14202242
AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION
01
18399
BOARDOFEXAMINERS
OR
01
60983851
DEPARTMENT OF HEALTH
WA
Enumeration date
06/03/2019
Last updated
09/24/2025
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