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ODYSSEY THERAPEUTICS NPI 1831554641


NPI Information

NPI: 1831554641
Provider Name: ODYSSEY THERAPEUTICS
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
15111 105TH AVENUE CT E
STE. 2
PUYALLUP, WA
ZIP 98374
Phone: (360) 820-0954
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ODYSSEY THERAPEUTICS is a speech language pathologist in Puyallup, 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. ODYSSEY THERAPEUTICS NPI is 1831554641. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15111 105TH AVENUE CT E
STE. 2
PUYALLUP, WA
ZIP 98374-747
Phone: (360) 820-0954
Fax: (253) 881-1017

The provider's authorized official is Robert Shields .
The authorized official title is Owner/administrator/therapist and has the following contact phone number (360) 820-0954.

The enumeration date for this NPI number is 12/21/2015 and was last updated on 6/2/2016.


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 PathologistYes

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: 11/14/2023

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