Organization
LAKESIDE SPEECH LANGUAGE AND LEARNING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL JAMES STACHELSKI MS,CCC-SLP (OWNER/OPERATOR)
(360) 303-9130
Entity
Organization
Contact information
Practice address
7829 CENTER BLVD STE 223, SNOQUALMIE, WA 98065
(360) 303-9130
(206) 333-0031
Mailing address
7125 SILENT CREEK AVE SE, SNOQUALMIE, WA 98065
(360) 303-7130
(206) 333-0031
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00003914
WA
Other
Enumeration date
04/03/2007
Last updated
08/26/2008
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