Individual
MR. SHILADITYA ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SPEECH LANGUAGE PATH
Contact information
Practice address
11411 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499
(253) 589-6441
Mailing address
125 SW CAMPUS DR, APT # 17 106, FEDERAL WAY, WA 98023-8365
(253) 269-4151
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00003754
WA
Other
Enumeration date
06/05/2008
Last updated
06/05/2008
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