Individual
MR. MARTIN T NEVDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
4131 15TH AVE NE, SEATTLE, WA 98105-6250
(206) 543-3384
Mailing address
4131 15TH AVE NE, SEATTLE, WA 98105-6250
(206) 543-3384
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00001546
WA
Other
Enumeration date
08/21/2008
Last updated
08/21/2008
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