Individual
MICHELLE RIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
8009 W 5TH AVE, KENNEWICK, WA 99336-9464
(630) 360-1489
Mailing address
8009 W 5TH AVE, KENNEWICK, WA 99336-9464
(630) 360-1489
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SI60851833
WA
Other
Enumeration date
02/12/2019
Last updated
02/12/2019
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