Individual
TERESA MARIE BROWN DIPASQUALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
711 S COWLEY ST, SPOKANE, WA 99202-1330
(509) 473-6583
Mailing address
711 S COWLEY ST, SPOKANE, WA 99202-1330
(509) 473-6583
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
00003096
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00003096
LICENSE
WA
Enumeration date
11/19/2008
Last updated
11/19/2008
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