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Individual

TANYA LYN EADIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D., CCC-SLP

Contact information

Practice address
1417 NE 42ND ST, DEPT OF SPHSC, UNIVERSITY OF WASHINGTON, SEATTLE, WA 98105-6247
(206) 616-2753
Mailing address
1417 NE 42ND ST, DEPT OF SPHSC, UNIVERSITY OF WASHINGTON, SEATTLE, WA 98105-6247
(206) 616-2753

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL 00003580
WA

Other

Enumeration date
09/22/2010
Last updated
09/22/2010
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