Individual
MEGAN ABBOTT COSTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
845 WASHOUGAL RIVER RD, WASHOUGAL, WA 98671-1507
(503) 307-9743
Mailing address
845 WASHOUGAL RIVER RD, WASHOUGAL, WA 98671-1507
(503) 307-9743
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
012790
OR
235Z00000X
Speech-Language Pathologist
Primary
LL60014238
WA
Other
Enumeration date
09/24/2010
Last updated
09/24/2010
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