Organization
DUPONT SPEECH & LANGUAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA MARY BRINKHAUS MS (SLP)
(253) 273-2243
Entity
Organization
Contact information
Practice address
1922 NELSON ST, DUPONT, WA 98327-7743
(253) 273-2243
(253) 912-1477
Mailing address
1922 NELSON ST, DUPONT, WA 98327-7743
(253) 273-2243
(253) 912-1477
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00003871
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LL00003871
DEPT OF HEALTH
WA
Enumeration date
06/27/2012
Last updated
06/27/2012
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