Organization
SUMMIT SPEECH AND LANGUAGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BECKY OCONNOR (BILLING SPECIALIST/CREDENTIALING)
(360) 452-3529
Entity
Organization
Contact information
Practice address
1907 COOKS HILL RD, CENTRALIA, WA 98531-9073
(360) 219-7158
Mailing address
580 W NELSON RD, SEQUIM, WA 98382-9581
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275885451
NPI
—
Enumeration date
01/23/2018
Last updated
01/23/2018
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