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Individual

LINDALL MCINTYRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
1625 19TH AVE, SEATTLE, WA 98122-2848
(206) 323-5770
(206) 328-6871
Mailing address
1625 19TH AVE, SEATTLE, WA 98122-2848
(206) 323-5770
(206) 328-6871

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00003000
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0177141
LABOR & INDUSTRIES
WA
01
1956MC
REGENCE BLUE SHIELD
WA
01
3306881
AETNA
WA
05
8376972
WA
Enumeration date
07/21/2005
Last updated
07/08/2007
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