Individual
LADA SARYCHEVA GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5706 ROAD 60, PASCO, WA 99301-9597
(509) 416-7808
Mailing address
1215 W LEWIS ST, PASCO, WA 99301-5472
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
562872B
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14072167
AMERICAN SPEECH-LANGUAGE HEARING ASSOCIATION
—
01
—
562872B
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
11/01/2019
Last updated
11/01/2019
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