Individual
MRS. WENDY M. J. MINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 W. CLARK STREET, CONNELL, WA 99326-0829
(509) 234-4381
Mailing address
PO BOX 829, CONNELL, WA 99326-0829
(509) 234-4381
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01061978
WA
235Z00000X
Speech-Language Pathologist
2555156B
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01061978
AMERICAN SPEECH AND HERING ASSOCIATION
WA
01
—
255156B
EDUCATIONAL STAFF ASSOCIATE CERTIFICATION
WA
Enumeration date
01/10/2013
Last updated
01/10/2013
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