Individual
MS. TERRY ANN SACKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC LSP
Contact information
Practice address
516 HIGH ST., BELLINGHAM, WA 98225-9078
(360) 650-3196
(360) 650-2843
Mailing address
516 HIGH ST, BELLINGHAM, WA 98225-9078
(360) 650-3196
(360) 650-2843
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00003983
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0916000562-22
DVR GROUP #
WA
05
—
7140007
—
WA
Enumeration date
04/03/2007
Last updated
07/09/2007
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