Individual
MRS. BROOKE ASHLEY FESCENMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
2500 NE 65TH AVE, VANCOUVER, WA 98661-6812
(360) 750-7500
Mailing address
657 29TH ST APT 4, WASHOUGAL, WA 98671-1752
(509) 493-2475
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
482035C
WA
Other
Enumeration date
01/07/2013
Last updated
01/07/2013
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