Organization
OLYMPIC SPEECH THERAPY LLC
Active
Other names
Olympic Speech Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA SHUCK MS CCC-SLP (SPEECH LANGAUGE PATHOLOGIST)
(956) 454-4226
Entity
Organization
Contact information
Practice address
24001 56TH AVE W STE D404, MOUNTLAKE TERRACE, WA 98043-5558
(956) 454-4226
Mailing address
8033 9TH AVE NW, SEATTLE, WA 98117-4120
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639581853
—
TX
Enumeration date
08/22/2022
Last updated
09/07/2022
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