Organization
BLOOMING SPEECH P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH CHAPDELAINE M.S. CCC-SLP (PRESIDENT)
(425) 314-1716
Entity
Organization
Contact information
Practice address
8919 49TH AVE W, MUKILTEO, WA 98275-3425
(425) 314-1716
(425) 353-3716
Mailing address
PO BOX 1024, MUKILTEO, WA 98275-1024
(425) 314-1716
(425) 353-3716
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00001195
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7132632
—
WA
Enumeration date
07/18/2006
Last updated
08/22/2020
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