Individual
SUZANNE GOWDY LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1655 HUDSON ST, SUITE I, LONGVIEW, WA 98632-2949
(360) 423-8310
(360) 425-4450
Mailing address
2304 HEMLOCK ST, LONGVIEW, WA 98632-2732
(360) 423-6809
(360) 425-4450
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00001939
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00075960
ASHS CERT.CLINICAL COMP
—
Enumeration date
03/29/2007
Last updated
07/08/2007
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