Individual
KERRY SUSAN SOTHERLUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
3110 1ST ST SE, EAST WENATCHEE, WA 98802-9250
(509) 670-8423
(509) 886-3207
Mailing address
3110 1ST ST SE, EAST WENATCHEE, WA 98802-9250
(509) 670-8423
(509) 886-3207
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00003650
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7124191
—
WA
Enumeration date
01/22/2007
Last updated
07/08/2007
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