Individual
DUSTIN LEE WALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SLP-CCC
Contact information
Practice address
9414 NE FOURTH PLAIN BLVD, VANCOUVER, WA 98662-6109
(360) 892-5142
Mailing address
9414 NE FOURTH PLAIN BLVD, VANCOUVER, WA 98662-6109
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60917848
WA
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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