Individual
KELSEY MARIE KOUPAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
7201 BEACON AVE S, SEATTLE, WA 98108-3915
(206) 252-8000
Mailing address
1748 NW 60TH ST, SEATTLE, WA 98107-2355
(218) 232-0200
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL61625264
WA
235Z00000X
Speech-Language Pathologist
SLP012625
GA
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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