Individual
LAUREN MICHELLE ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4400 DOUGLAS DR, YAKIMA, WA 98908-2691
(509) 573-5815
Mailing address
4400 DOUGLAS DR, YAKIMA, WA 98908-2691
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
60786148
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14106041
AMERICAN SPEECH AND HEARING ASSOCIATION
—
01
—
60786148
WASHINGTON DEPARTMENT OF HEALTH
WA
Enumeration date
09/28/2017
Last updated
09/28/2017
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