Individual
MS. PEGGY L. TRUMMELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
5802 20TH ST E, FIFE, WA 98424-2030
(253) 517-1400
(253) 517-1055
Mailing address
3010 S MELROSE ST, TACOMA, WA 98405-2465
(253) 517-1400
(253) 517-1055
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00002905
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
910598109
TAX IDENTIFICATION NUMBER
WA
Enumeration date
03/15/2007
Last updated
11/20/2012
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