Organization
ASSOCIATED TEAM TX, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA LEA VANDALSEN MA, CCC, SLP (PRESIDENT)
(360) 292-5884
Entity
Organization
Contact information
Practice address
214 E PINE STREET, OAKVILLE, WA 98568-0225
(360) 273-0220
(360) 273-5510
Mailing address
214 E PINE STREET, PO BOX 225, OAKVILLE, WA 98568-0225
(360) 273-0220
(360) 273-5510
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00003281
WA
Other
Enumeration date
03/24/2011
Last updated
03/24/2011
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