Individual
TYLER COMSTOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
364 S PARK ST, WALLA WALLA, WA 99362-3249
(509) 527-3000
Mailing address
719 JUNIPER ST, WALLA WALLA, WA 99362-3435
(813) 777-6667
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
60887346
WA
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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