Individual
BERNADETTE NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC SLP 12153389
Contact information
Practice address
4730 COLBY AVE, EVERETT, WA 98203-2927
(425) 385-5254
Mailing address
4730 COLBY AVE, EVERETT, WA 98203-2927
(425) 385-5254
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12153389
CCC SLP
—
Enumeration date
12/17/2012
Last updated
12/17/2012
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