Individual
MRS. STEPHANIE KAYS ENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1100 NINTH AVE, VIRGINIA MASON MEDICAL CENTER, SEATTLE, WA 98101
(206) 341-0461
Mailing address
1100 NINTH AVE, DEPT OF PHYSICAL MEDICINE & REHAP(H4-PM, VIRGINIA MASON MEDICAL CENTER, SEATTLE, WA 98101
(206) 515-5811
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2540154
WI
235Z00000X
Speech-Language Pathologist
Primary
LL60032975
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8567869
—
WA
Enumeration date
05/01/2007
Last updated
05/10/2011
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