Individual
SARAH EISERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
17311 135TH AVE NE STE C200, WOODINVILLE, WA 98072-3564
(425) 486-7710
Mailing address
17311 135TH AVE NE STE C200, WOODINVILLE, WA 98072-3564
(425) 486-7710
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60880592
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LL60880592
STATE SPEECH THERAPY LICENSE
WA
Enumeration date
08/21/2018
Last updated
08/21/2018
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