Individual
LISA GOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
1951 BEAUDRY RD, YAKIMA, WA 98901-8012
(509) 573-7600
Mailing address
1951 BEAUDRY RD, YAKIMA, WA 98901-8012
(509) 573-7657
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
60843446
WA
Other
Enumeration date
09/03/2008
Last updated
06/26/2021
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