Individual
BRENDA AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
6186 NE LARIAT LOOP, BAINBRIDGE ISLAND, WA 98110-2098
(651) 353-1171
Mailing address
6186 NE LARIAT LOOP, BAINBRIDGE ISLAND, WA 98110-2098
(651) 353-1171
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL 60300037
WA
Other
Enumeration date
05/27/2014
Last updated
05/27/2014
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