Individual
MS. MIRANDA BASILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP
Contact information
Practice address
148 102ND AVE SE, BELLEVUE, WA 98004-6197
(425) 298-3979
Mailing address
6133 NE 193RD PL, KENMORE, WA 98028-3230
(702) 802-9671
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14510877
WA
235Z00000X
Speech-Language Pathologist
SLP.LL.70008239
WA
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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