Organization
SPARKLE SPEECH AND LANGUAGE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSSA FLEMING MA, CCC-SLP (OWNER)
(509) 818-0208
Entity
Organization
Contact information
Practice address
28000 PRAIRIE SPRINGS DRIVE, DAVENPORT, WA 99122
(509) 818-0208
(509) 381-2532
Mailing address
PO BOX 13, DAVENPORT, WA 99122-0013
(509) 818-0208
(509) 381-3532
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2135668
—
WA
Enumeration date
06/25/2019
Last updated
07/25/2022
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