Individual
MRS. MELISSA AMMEN KOKALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2366 EASTLAKE AVE E, SUITE 313, SEATTLE, WA 98102-3366
(206) 371-3943
Mailing address
1026 NE 90TH ST, SEATTLE, WA 98115-3025
(206) 420-4312
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00003343
WA
Other
Enumeration date
01/07/2011
Last updated
01/07/2011
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