Individual
SUZANNE MARIE RETTIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
110 S 9TH AVE, YAKIMA, WA 98902-3315
(509) 575-5068
(509) 577-4604
Mailing address
110 S 9TH AVE, YAKIMA, WA 98902-3315
(509) 575-5068
(509) 577-4604
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00002833
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7980709
—
WA
Enumeration date
05/10/2006
Last updated
01/23/2014
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