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LAKESIDE CENTER FOR AUTISM LLC NPI 1588802953


NPI Information

NPI: 1588802953
Provider Name: LAKESIDE CENTER FOR AUTISM, LLC
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
5150 VILLAGE PARK DR SE
BELLEVUE, WA
ZIP 98006
Phone: (425) 657-0620
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LAKESIDE CENTER FOR AUTISM, LLC is a speech language pathologist in Bellevue, WA. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. LAKESIDE CENTER FOR AUTISM, LLC NPI is 1588802953. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5150 VILLAGE PARK DR SE
BELLEVUE, WA
ZIP 98006-652
Phone: (425) 657-0620

The provider's authorized official is Dan Stachelski .
The authorized official title is Executive Director and has the following contact phone number (425) 657-0620.

The enumeration date for this NPI number is 1/23/2009 and was last updated on 1/3/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1235Z00000XSpeech-Language PathologistLL00003914WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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