Organization
PEDIATRIC SPEECH & LANG ASSOCS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY M LESTZ MA,CCC-SLP (OWNER/SLP)
(425) 392-2631
Entity
Organization
Contact information
Practice address
710 NW JUNIPER ST, SUITE 110, ISSAQUAH, WA 98027-2717
(425) 392-2631
(425) 392-4631
Mailing address
710 NW JUNIPER ST, SUITE 110, ISSAQUAH, WA 98027-2717
(425) 392-2631
(425) 392-4631
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00001411
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7027527
—
WA
Enumeration date
08/30/2005
Last updated
06/23/2008
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