Individual
MRS. MAYA SUBBUKUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.SC., CCC, SLP
Contact information
Practice address
330 MADISON AVE S STE 106, BAINBRIDGE ISLAND, WA 98110-2544
(206) 708-5997
Mailing address
2112 BELFAIR AVE NE, BAINBRIDGE ISLAND, WA 98110-3082
(206) 708-5997
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00003860
WA
Other
Enumeration date
07/17/2007
Last updated
02/05/2014
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