Individual
MR. JOHN D. FIELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., CCC-SLP
Contact information
Practice address
9150 OCCIDENTAL RD, APT 5, YAKIMA, WA 98903-9691
(360) 936-5362
Mailing address
9150 OCCIDENTAL RD, APT 5, YAKIMA, WA 98903-9691
(360) 936-5362
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00002697
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8402513
—
WA
Enumeration date
10/24/2006
Last updated
05/22/2013
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