Individual
NITHYA SIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
916 PACIFIC AVE, EVERETT, WA 98201-4147
(425) 258-7600
(425) 258-7406
Mailing address
PO BOX 1067, EVERETT, WA 98206-1067
(425) 258-7600
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3663
WA
Other
Enumeration date
06/25/2006
Last updated
06/15/2010
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