Individual
SASHA CORREIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
19508 SE 41ST CIR, CAMAS, WA 98607-9424
(503) 915-7508
Mailing address
19508 SE 41ST CIR, CAMAS, WA 98607-9424
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
012984
OR
235Z00000X
Speech-Language Pathologist
Primary
LL 60116347
WA
Other
Enumeration date
04/09/2010
Last updated
09/14/2015
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