Organization
PEDIATRIC SPEECH AND LANGUAGE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL L RAY CCC-SLP (OWNER)
(206) 547-2500
Entity
Organization
Contact information
Practice address
2205 N 45TH ST, UNIT A, SEATTLE, WA 98103-6903
(206) 547-2500
Mailing address
2205 N 45TH ST, UNIT A, SEATTLE, WA 98103-6903
(206) 547-2500
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00002837
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043646631
AETNA PROVIDER ID
WA
01
—
3646RA
REGENCE RIDER NUMBER
WA
01
—
6466RA
REGENCE RIDER NUMBER
WA
Enumeration date
04/12/2007
Last updated
07/03/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us