Individual
MS. THERESA M SCHIPPERS-BOLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
303 S 12TH AVE, YAKIMA, WA 98902-3112
(509) 453-8248
Mailing address
303 S 12TH AVE, YAKIMA, WA 98902-3112
(509) 453-8248
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00003588
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LL00003588
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
07/23/2008
Last updated
11/02/2012
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