Organization
ISLAND SPEECH LANGUAGE & REHABILITATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE D. LONG M.A., CCC-SLP (OWNER)
(360) 679-4211
Entity
Organization
Contact information
Practice address
390 NE MIDWAY BLVD, SUITE B-101, OAK HARBOR, WA 98277-2642
(360) 679-4211
(360) 279-2545
Mailing address
390 NE MIDWAY BLVD, SUITE B-101, OAK HARBOR, WA 98277-2642
(360) 679-4211
(360) 279-2545
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL0003493
WA
Other
Enumeration date
03/02/2009
Last updated
03/02/2009
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