Individual
OLIVIA MAE PONZETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2402 NW 195TH PL, SHORELINE, WA 98177-2932
(206) 364-3777
(206) 364-3999
Mailing address
2402 NW 195TH PL, SHORELINE, WA 98177-2932
(206) 364-3777
(206) 364-3999
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60974285
WA
Other
Enumeration date
09/03/2025
Last updated
10/21/2025
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