Individual
MARYAM GHASSEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19021 120TH AVE NE STE 102, BOTHELL, WA 98011-9511
(425) 486-7710
Mailing address
19021 120TH AVE NE STE 102, BOTHELL, WA 98011-9511
(425) 486-7710
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.LL.70136668
WA
235Z00000X
Speech-Language Pathologist
SLPI.SI.70004287
WA
Other
Enumeration date
05/21/2026
Last updated
06/12/2026
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