Individual
MRS. KATHRYN LYNN MAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
4407 N DIVISION ST, STE 303, SPOKANE, WA 99207-1600
(509) 710-5084
(509) 863-9849
Mailing address
4407 N DIVISION ST, STE 303, SPOKANE, WA 99207-1600
(509) 710-5084
(509) 863-9849
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60306905
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14033267
AMERICAN SPEECH AND HEARING ASSOCIATION
MD
01
—
LL60306905
STATE LICENSE
WA
Enumeration date
11/15/2012
Last updated
11/15/2012
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