Individual
AMELIA KARLL HEAGERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4103 SW 317TH ST, FEDERAL WAY, WA 98023-2136
(206) 948-4526
Mailing address
4103 SW 317TH ST, FEDERAL WAY, WA 98023-2136
(206) 948-4526
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60436993
WA
Other
Enumeration date
11/04/2014
Last updated
04/12/2022
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