Individual
SUSAN NELSON REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2405 S 300TH ST, FEDERAL WAY, WA 98003-4225
(253) 945-4413
Mailing address
1223 S 259TH PL, DES MOINES, WA 98198-8917
(206) 212-6674
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
60091397
WA
Other
Enumeration date
12/13/2012
Last updated
12/13/2012
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