NPI 1104337682 · live from the CMS NPI Registry
Kristin Bainbridge, MS CCC-SLP
Speech-Language Pathologist, in Kirkland, WA. National Provider Identifier 1104337682, active.
NPI record
| NPI | 1104337682 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 12040 Ne 128th St, Kirkland, WA 98034 |
| Practice phone | 402-990-2453 |
| Mailing address | 2101 Sw Sunset Blvd Apt E202, Renton, WA 98057 |
| Enumerated | October 24, 2017 |
| Last updated | October 24, 2017 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | LL60792544 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.