Individual
MS. MYRA J TISHKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
17535 15TH AVE NE, SHORELINE, WA 98155-3801
(206) 440-9708
Mailing address
10532A WHITMAN AVE N, SEATTLE, WA 98133-8824
(206) 841-4842
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
00003279
WA
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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