Individual
REGINA MARIE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
14913 SE STEVENSON DR, VANCOUVER, WA 98683-8352
(615) 945-7378
Mailing address
14913 SE STEVENSON DR, VANCOUVER, WA 98683-8352
(615) 945-7378
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00004783
WA
Other
Enumeration date
02/19/2008
Last updated
02/19/2008
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