Individual
ANDREA GOUGIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
2930 MAPLE ST, EVERETT, WA 98201-3832
(425) 261-1500
Mailing address
2930 MAPLE ST, EVERETT, WA 98201-3832
(425) 261-1500
(425) 261-1515
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
76518-SP-SL
MA
235Z00000X
Speech-Language Pathologist
Primary
LL60966529
WA
Other
Enumeration date
06/14/2017
Last updated
05/04/2021
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