Organization
HOLISTIC SPEECH & LANGUAGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY (TY) LOCKHART M.A., CCC-SLP (OWNER/SLP)
(206) 409-9964
Entity
Organization
Contact information
Practice address
635 SW PELTON PL, BEND, OR 97702-1207
(206) 409-9964
(206) 905-0104
Mailing address
635 SW PELTON PL, BEND, OR 97702-1207
(206) 409-9964
(206) 905-0104
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
LL60023213
WA
Other
Enumeration date
06/13/2018
Last updated
11/17/2023
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