Individual
SITA SHANKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
16343 NE 50TH ST, REDMOND, WA 98052-5295
(425) 883-3969
Mailing address
16343 NE 50TH ST, REDMOND, WA 98052-5295
(425) 883-3969
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL 60431787
WA
Other
Enumeration date
02/26/2014
Last updated
02/26/2014
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