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OLYMPIC SPEECH THERAPY LLC NPI 1780303099


NPI Information

NPI: 1780303099
Provider Name: OLYMPIC SPEECH THERAPY LLC

Doing Business As: OLYMPIC SPEECH THERAPY

Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
24001 56TH AVE W STE D404
MOUNTLAKE TERRACE, WA
ZIP 98043
Phone: (956) 454-4226
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OLYMPIC SPEECH THERAPY LLC is a speech language pathologist in Mountlake Terrace, 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. OLYMPIC SPEECH THERAPY LLC NPI is 1780303099. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Olympic Speech Therapy.

The provider's business location address is:

24001 56TH AVE W STE D404
MOUNTLAKE TERRACE, WA
ZIP 98043-558
Phone: (956) 454-4226

The provider's authorized official is Theresa Shuck .
The authorized official title is Speech Langauge Pathologist and has the following contact phone number (956) 454-4226.

The enumeration date for this NPI number is 8/22/2022 and was last updated on 9/7/2022.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1235Z00000XSpeech-Language PathologistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11639581853MEDICAIDTEXAS

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: 5/5/2024

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