Organization
SPARK SPEECH THERAPY COLLECTIVE PC
Active
Other names
Spark Therapy Collective
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE BENNETT MS, CCC-SLP (OWNER)
(818) 217-0460
Entity
Organization
Contact information
Practice address
1455 NW LEARY WAY STE 400, SEATTLE, WA 98107-5138
(818) 217-0460
(818) 478-3327
Mailing address
1455 NW LEARY WAY STE 400, SEATTLE, WA 98107-5138
(818) 217-0460
(818) 478-3327
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/07/2019
Last updated
10/13/2022
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