Individual
TIFFANY VASSALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2300 W BERTONA ST, SEATTLE, WA 98199-2326
(978) 444-0321
Mailing address
2300 W BERTONA ST, SEATTLE, WA 98199-2326
(978) 444-0321
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL61321905
WA
235Z00000X
Speech-Language Pathologist
SP28481
CA
Other
Enumeration date
08/01/2018
Last updated
02/20/2023
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