Individual
MS. ELAINE TINA MAKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
1400 KING ST, SUITE B104, BELLINGHAM, WA 98229-6262
(360) 201-1689
(360) 312-4362
Mailing address
1115 SUDDEN VLY, BELLINGHAM, WA 98229-4829
(360) 201-1689
(360) 312-4362
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00003719
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09128
FIRST CHOICE HEALTH
WA
05
—
7133713
—
WA
01
—
7967MA
REGENCE BLUESHIELD
WA
Enumeration date
09/22/2006
Last updated
07/08/2007
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