Individual
JACQUELINE BUZZARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
4680 CORDATA PKWY, BELLINGHAM, WA 98226-8038
(360) 398-1966
Mailing address
2054 DELLESTA DR, BELLINGHAM, WA 98226-9434
(360) 389-0600
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60752911
WA
Other
Enumeration date
09/16/2017
Last updated
09/16/2017
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