Individual
CHAD PETTINGILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13416 79TH AVENUE CT NW, GIG HARBOR, WA 98329-9200
(253) 312-5672
Mailing address
13416 79TH AVENUE CT NW, GIG HARBOR, WA 98329-9200
(253) 312-5672
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
28065
CA
235Z00000X
Speech-Language Pathologist
Primary
SLP.LL.60731420
WA
235Z00000X
Speech-Language Pathologist
SLP10920
AZ
Other
Enumeration date
12/15/2016
Last updated
03/23/2022
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