Organization
CHILDHOOD SPEECH & LANGUAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN J CONLEY CCC-SLP (DIRECTOR)
(425) 867-0475
Entity
Organization
Contact information
Practice address
2721 152ND AVE NE, REDMOND, WA 98052-5552
(425) 867-0475
Mailing address
2721 152ND AVE NE, REDMOND, WA 98052-5552
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00002785
WA
Other
Enumeration date
02/02/2007
Last updated
04/25/2011
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