Individual
ALLA MATVEYENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1201 39TH ST, WASHOUGAL, WA 98671-9114
(360) 954-3215
Mailing address
1201 39TH ST, WASHOUGAL, WA 98671-9114
(360) 954-3215
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
61115111
WA
Other
Enumeration date
02/05/2021
Last updated
02/05/2021
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