Individual
MR. JOHN C THORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.C., CCC-SLP
Contact information
Practice address
1959 NE PACIFIC ST, CENTER ON HUMAN DEVELOPMENT & DISABILITY, SEATTLE, WA 98195-0001
(206) 543-7701
Mailing address
3126 PORTAGE BAY PL E, HOUSEBOAT A, SEATTLE, WA 98102-3886
(206) 940-5792
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL 60084988
WA
Other
Enumeration date
09/22/2009
Last updated
09/22/2009
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