NPI 1619639457 · live from the CMS NPI Registry
Susannah Emily Balestracci, MS, CCC-SLP
Speech-Language Pathologist, in Seattle, WA. National Provider Identifier 1619639457, active.
NPI record
| NPI | 1619639457 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 2445 3rd Ave S, Seattle, WA 98134 |
| Practice phone | 303-475-6755 |
| Mailing address | 9606 58th Ave S, Seattle, WA 98118 |
| Enumerated | October 8, 2021 |
| Last updated | October 8, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 61206834 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.