Individual
MARY SUE SIEMSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1201 W. 5TH STREET, NEWPORT, WA 99156
(509) 671-2817
Mailing address
PO BOX 70, 1201 W. 5TH STREET, NEWPORT, WA 99156-0070
(509) 671-2817
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL 00004630
WA
Other
Enumeration date
10/15/2012
Last updated
10/15/2012
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