Organization
WASHINGTON STATE UNIVERSITY
Active
Parent organization
WASHINGTON STATE UNIVERSITY
Other names
Speech and Hearing Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
WASHINGTON STATE UNIVERSITY
Authorized official
DR. GAIL D. CHERMAK PH.D., CCC-A (PROFESSOR AND CHAIR)
(509) 335-4526
Entity
Organization
Contact information
Practice address
DAGGY HALL, ROOM 133, PULLMAN, WA 99164-2420
(509) 335-1509
(509) 335-8357
Mailing address
DAGGY HALL, ROOM 133, PULLMAN, WA 99164-2420
(509) 335-1509
(509) 335-8357
Taxonomy
Speciality
Code
Description
License number
State
231HA2500X
Assistive Technology Supplier Audiologist
00003762
WA
235Z00000X
Speech-Language Pathologist
Primary
00549253
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010156099
SPEECHLANGUAGEHEARING
ID
01
—
000010156099
SPEECHLANGUAGEHEARING
WA
01
—
17209
SPEECHLANGUAGEHEARING
WA
01
—
224297224297
SPEECHLANGUAGEHEARING
WA
05
—
7118771
—
WA
05
—
7259302
—
WA
01
—
75243
SPEECHLANGUAGEHEARING
WA
05
—
805173000
—
ID
Enumeration date
01/04/2007
Last updated
07/15/2008
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