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Organization

HARBOR SPEECH PATHOLOGY, PS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHANNA BECKMAN (SPEECH LANGUAGE PATHOLOGISYT)
(253) 851-0007
Entity
Organization

Contact information

Practice address
5202 OLYMPIC DR NW, SUITE 100, GIG HARBOR, WA 98335-1727
(253) 851-0007
(253) 514-8261
Mailing address
5202 OLYMPIC DR NW, SUITE 100, GIG HARBOR, WA 98335-1727
(253) 851-0007
(253) 514-8261

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT00003975
WA
235Z00000X
Speech-Language Pathologist
Primary
LL00003090
WA
261QH0700X
Hearing and Speech Clinic/Center
602840742
WA

Other

Enumeration date
09/17/2009
Last updated
06/13/2017
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