Individual
MRS. KATHARINE CARLISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
401 W POPLAR ST, REHABILITATION SERVICES, WALLA WALLA, WA 99362-2846
(206) 359-5678
Mailing address
501 WASHINGTON ST, 26, WALLA WALLA, WA 99362-3260
(206) 359-5678
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60555871
WA
Other
Enumeration date
01/29/2017
Last updated
01/29/2017
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