Individual
KYLE MUTCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S. CCC - SLP
Contact information
Practice address
340 E SUNSET WAY, SUITE 101, ISSAQUAH, WA 98027-3474
(425) 557-6657
Mailing address
340 E SUNSET WAY, SUITE 101, ISSAQUAH, WA 98027-3474
(425) 557-6657
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.LL.60321672
WA
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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