Organization
THE SPEECH PATHOLOGY LEARNING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE CIARLO CCC/SLP, MA (OWNER/PROVIDER)
(509) 735-6442
Entity
Organization
Contact information
Practice address
8514 W GAGE BLVD, KENNEWICK, WA 99336-8120
(509) 735-6442
(866) 523-1692
Mailing address
8514 W GAGE BLVD, KENNEWICK, WA 99336-8120
(509) 735-6442
(866) 523-1692
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
OT00001974
WA
235Z00000X
Speech-Language Pathologist
Primary
LL00002194
WA
235Z00000X
Speech-Language Pathologist
LL00004503
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7136526
—
WA
Enumeration date
10/02/2008
Last updated
10/02/2008
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