Individual
MRS. SANDRA KAY BUSHNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
1105 ISAACS AVE, WALLA WALLA, WA 99362
(509) 526-8578
Mailing address
1389 CRYSTAL CT, WALLA WALLA, WA 99362
(509) 526-8578
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/12/2013
Last updated
02/12/2013
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