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Individual

MR. ANTHONY J VAN ZEYL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, CCC-SLP

Contact information

Practice address
19401 40TH AVE W, SUITE 310, LYNNWOOD, WA 98036-4612
(425) 582-2473
(425) 582-2475
Mailing address
19401 40TH AVE W, SUITE 310, LYNNWOOD, WA 98036-4612
(425) 582-2473
(425) 582-2475

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00003598
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12012793
ASHA NUMBER
WA
05
7028319
WA
01
7985798
AETNA INS. NUMBER
WA
05
8383846
WA
Enumeration date
11/28/2006
Last updated
02/11/2008
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