Individual
TERESA MICHELLE WHITELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2901 FALK RD, VANCOUVER, WA 98661-6392
(360) 313-1000
Mailing address
5340 NW JACKSON LOOP, CAMAS, WA 98607-8528
(360) 798-7989
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL61015219
WA
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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