Individual
NIPA RAVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8213 233RD PL NE, REDMOND, WA 98053-1985
(425) 287-7689
Mailing address
8213 233RD PL NE, REDMOND, WA 98053-1985
(425) 287-7689
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL61339087
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
456662
DIRECT BILL
TX
Enumeration date
07/25/2012
Last updated
11/04/2024
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