Organization
CAROLYN L HARESTAD
Active
Other names
C C Manning PhD and Associates
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN L HARESTAD MA CCC S (OWNER)
(253) 874-2599
Entity
Organization
Contact information
Practice address
33515 10 PL SO, BUILDING 13, FEDERAL WAY, WA 98003-7300
(253) 874-2599
(253) 874-2392
Mailing address
33515 10 PL SO, BUILDING 13, FEDERAL WAY, WA 98003-7300
(253) 874-2599
(253) 874-2392
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
WA
237600000X
Audiologist-Hearing Aid Fitter
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7077159
—
WA
05
—
7077167
—
WA
05
—
9042326
—
WA
Enumeration date
05/03/2007
Last updated
09/11/2025
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