Individual
MRS. JULIE BURGESS-DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
4230 198TH ST SW, LYNNWOOD, WA 98036-6762
(425) 275-9071
(425) 275-9045
Mailing address
4230 198TH ST SW, LYNNWOOD, WA 98036-6762
(425) 275-9071
(425) 275-9045
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00002918
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12011233
ASHA NUMBER
WA
05
—
7028319
—
WA
01
—
7975166
AETNA INS. NUMBER
WA
05
—
8412538
—
WA
Enumeration date
11/28/2006
Last updated
07/09/2007
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