Individual
RICHARD WALLACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
855 AARON DR, LYNDEN, WA 98264-9396
(360) 354-4434
(360) 354-5947
Mailing address
1685 H ST, #990, BLAINE, WA 98230-5110
(360) 306-1193
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL 00003178
WA
Other
Enumeration date
11/22/2010
Last updated
11/22/2010
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