Individual
LISA J VANHORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSCCC-SLP
Contact information
Practice address
340 NW 177TH ST, SHORELINE, WA 98177-3515
(206) 546-5012
Mailing address
340 NW 177TH ST, SHORELINE, WA 98177-3515
(206) 546-5012
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00001278
WA
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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