Individual
KATHERINE WISEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
5211 11TH AVE NW, SEATTLE, WA 98107-3705
(319) 804-8585
Mailing address
5211 11TH AVE NW, SEATTLE, WA 98107-3705
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
002290
IA
235Z00000X
Speech-Language Pathologist
15042
OR
235Z00000X
Speech-Language Pathologist
Primary
LL 60337719
WA
Other
Enumeration date
10/28/2014
Last updated
10/28/2014
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