Individual
MR. ILAN R SPEIZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCC-SLP
Contact information
Practice address
HAZEL WOLF K-8, 11530 12TH AVE NE, SEATTLE, WA 98125-9811
(206) 294-0443
Mailing address
2217 NE 70TH ST, SEATTLE, WA 98115-5823
(206) 294-0443
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.LL.60600517
WA
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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