Individual
ELIZABETH ANN HUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS/MSPA CCC
Contact information
Practice address
5112 NW TAYLOR RD, BREMERTON, WA 98312-8837
(360) 373-2536
Mailing address
5112 NW TAYLOR RD, BREMERTON, WA 98312-8837
(360) 373-2536
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60275998
WA
Other
Enumeration date
05/01/2012
Last updated
05/01/2012
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