Individual
MS. BETSY R DE LA ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CFY-SLP
Contact information
Practice address
3600 LIND AVE SW STE 160, RENTON, WA 98057-4934
(425) 690-3513
(425) 690-9513
Mailing address
3600 LIND AVE SW, SUITE 100 ATTN CREDENTIALING, RENTON, WA 98057-4970
(425) 690-2715
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
9560
MN
235Z00000X
Speech-Language Pathologist
Primary
LL61033853
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
215572
—
WA
Enumeration date
09/01/2015
Last updated
05/12/2020
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