Individual
MANEESHA SIVALINGAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8301 161ST AVE NE STE 208, REDMOND, WA 98052-3858
(425) 882-4347
Mailing address
8301 161ST AVE NE STE 208, REDMOND, WA 98052-3858
(425) 882-4347
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL61088996
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LL61106356
LICENSE
WA
Enumeration date
04/22/2021
Last updated
04/22/2021
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