Individual
YASMIN PERLAS REVECHO-VIERNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
17058 NE 115TH WAY, REDMOND, WA 98052-2316
(425) 702-9826
Mailing address
17058 NE 115TH WAY, REDMOND, WA 98052-2316
(425) 702-9826
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60501337
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LL60501337
WA STATE LICENSE
WA
Enumeration date
08/31/2018
Last updated
05/11/2020
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