Individual
SUSAN D FUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
310 15TH AVE E, SLLS, SUITE CSB-1, SEATTLE, WA 98112-5103
(206) 326-3586
Mailing address
PO BOX 34584, SEATTLE, WA 98124-1584
(509) 241-7349
(509) 241-7628
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00003821
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8448946
—
WA
Enumeration date
02/08/2007
Last updated
07/24/2007
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