Individual
JAMES EDWARD FUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00003122
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0177341
L&I
WA
05
—
8329377
—
WA
01
—
8934590
CRIME VICTIMS
WA
Enumeration date
07/12/2006
Last updated
09/05/2012
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