Individual
SUSAN K UNDERBRINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
516 23RD AVE SE, PUYALLUP, WA 98372-4659
(253) 845-6631
Mailing address
8642 FAUNTLEROY PL SW, SEATTLE, WA 98136-2412
(206) 850-6472
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SI60183715
WA
Other
Enumeration date
10/08/2010
Last updated
10/08/2010
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