Individual
AUDREY AKIKO SUGIMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
4628 S 144TH ST, TUKWILA, WA 98168-4134
(206) 901-7800
Mailing address
2618 SAN JACINTO ST, SIMI VALLEY, CA 93063-2395
(805) 657-1756
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
38460
CA
235Z00000X
Speech-Language Pathologist
Primary
SLP.LL.70030853
WA
235Z00000X
Speech-Language Pathologist
SLP101710
MA
Other
Enumeration date
11/07/2025
Last updated
11/07/2025
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