Individual
REBECCA FENANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
10811 SE KENT KANGLEY RD, KENT, WA 98030-7108
(253) 854-5660
(253) 854-7025
Mailing address
2766 E 2850 S, SALT LAKE CITY, UT 84109
(206) 369-9644
(253) 854-7025
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00004407
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7018518
—
WA
Enumeration date
02/20/2007
Last updated
03/27/2013
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