NPI 1124430012 · live from the CMS NPI Registry
Brenda Austin, CCC-SLP
Speech-Language Pathologist, in Bainbridge Island, WA. National Provider Identifier 1124430012, active.
NPI record
| NPI | 1124430012 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 6186 Ne Lariat Loop, Bainbridge Island, WA 98110 |
| Practice phone | 651-353-1171 |
| Enumerated | May 27, 2014 |
| Last updated | May 27, 2014 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | LL 60300037 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.