Organization
ODYSSEY THERAPEUTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT SHIELDS MS, CCC-SLP (OWNER/ADMINISTRATOR/THERAPIST)
(360) 820-0954
Entity
Organization
Contact information
Practice address
15111 105TH AVENUE CT E, STE. 2, PUYALLUP, WA 98374-3747
(360) 820-0954
(253) 881-1017
Mailing address
15018 113TH AVE E, PUYALLUP, WA 98374-3408
(360) 820-0954
(253) 881-1017
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/21/2015
Last updated
06/02/2016
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