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Individual

SKYLAR RUTH BANKA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., CF-SLP

Contact information

Practice address
6710 N COUNTRY HOMES BLVD, SPOKANE, WA 99208-4337
(509) 487-2958
Mailing address
612 W MAIN AVE APT 610, SPOKANE, WA 99201-0649
(496) 460-1770

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SI61207038
WA
390200000X
Student in an Organized Health Care Education/Training Program
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
390200000X
WA
Enumeration date
07/23/2021
Last updated
08/09/2021
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