Individual
LISA GREENWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD., CCC-SLP
Contact information
Practice address
16120 NE 8TH ST, BELLEVUE, WA 98008-3937
(425) 747-4007
(425) 747-1069
Mailing address
16120 NE 8TH ST, BELLEVUE, WA 98008-3937
(425) 747-4007
(425) 747-1069
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00002861
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7018120
—
WA
Enumeration date
06/30/2010
Last updated
06/30/2010
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