Organization
SPEECH AND LANGUAGE CONNECTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE M JONAK CCC-SLP (PROVIDER/OWNER)
(971) 361-6299
Entity
Organization
Contact information
Practice address
3305 MAIN ST, STE 011, VANCOUVER, WA 98663-2255
(971) 361-6299
Mailing address
3305 MAIN ST, STE 011, VANCOUVER, WA 98663-2255
(971) 361-6299
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL-60602511
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417315540
NPI TYPE 1
WA
Enumeration date
12/06/2016
Last updated
12/06/2016
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