Individual
SUZANNE SANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC SLP
Contact information
Practice address
9414 NE FOURTH PLN RD, VANCOUVER, WA 98662-6109
(360) 892-5142
Mailing address
9414 NE FOURTH PLN RD, VANCOUVER, WA 98662-6109
(360) 892-5142
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00003376
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7018120
—
WA
Enumeration date
03/26/2007
Last updated
03/21/2014
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