Individual
MS. MARY ANNE PULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., PH.D. , CF-SLP
Contact information
Practice address
3121 SQUALICUM PKWY, BELLINGHAM, WA 98225-1937
(360) 734-6760
(360) 752-0660
Mailing address
2306 VICTOR ST, BELLINGHAM, WA 98225-2237
(360) 738-1633
(360) 752-0660
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
LL60066568
WA
235Z00000X
Speech-Language Pathologist
Primary
SI60066569
WA
Other
Enumeration date
01/26/2009
Last updated
01/26/2009
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