Individual
AMIE LYN BOSTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,CCC-SLP
Contact information
Practice address
10901 176TH CIR NE, REDMOND, WA 98052-7218
(425) 556-8241
Mailing address
10507 164TH AVE NE, REDMOND, WA 98052-2769
(405) 245-4694
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60429836
WA
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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