Individual
THERESA C CLIPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
1100 OLIVE WAY MSC M4-PA, SEATTLE, WA 98101-1873
(206) 515-5811
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00001444
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039572
LABOR AND INDUSTRIES#
WA
01
—
2241CA
BLUE SHIELD#
WA
05
—
8344863
—
WA
01
—
US1048047
AETNA SPECIALIST PIN
WA
Enumeration date
01/18/2007
Last updated
11/18/2009
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