Organization
CLEARTALK SPEECH AND LANGUAGE THERAPY, LLC
Active
Other names
Columba Pediatric Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
KENDRA HOLLOWAY SLP (PROVIDER)
(503) 567-6326
Entity
Organization
Contact information
Practice address
16703 SE MCGILLIVRAY BLVD STE 170, VANCOUVER, WA 98683-4301
(360) 989-7347
(888) 974-0252
Mailing address
17920 NE 198TH CT, BRUSH PRAIRIE, WA 98606-8806
(503) 567-6326
(888) 974-0252
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2081962
—
WA
Enumeration date
10/04/2017
Last updated
05/12/2022
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