Individual
TERESE V MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
1100 NINTH AVE, MAILSTOP H4 PMR, SEATTLE, WA 98101-2756
(206) 341-0461
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00003187
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039572
LABOR AND INDUSTRIES#
WA
05
—
8364630
—
WA
01
—
VE6991
BLUE SHIELD #
WA
Enumeration date
02/02/2007
Last updated
10/02/2021
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