Individual
MRS. ERIN SIOBHAN TULLY-CLINARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
1220 DIVISION AVE, TACOMA, WA 98403-1321
(253) 403-4437
(253) 627-5004
Mailing address
31500 33RD PL SW APT Q103, FEDERAL WAY, WA 98023-5923
(253) 508-9394
(253) 627-5004
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
0000003121
TN
235Z00000X
Speech-Language Pathologist
Primary
LL00004323
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4106728
BCBS PROVIDER ID NUMBER
TN
Enumeration date
07/17/2006
Last updated
07/09/2007
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