NPI 1629569181 · live from the CMS NPI Registry
Kelly Baierl, MS, CCC-SLP
Speech-Language Pathologist, in Longview, WA. National Provider Identifier 1629569181, active.
NPI record
| NPI | 1629569181 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 2145 Tibbetts Dr Ste A, Longview, WA 98632 |
| Practice phone | 360-560-1972 |
| Enumerated | May 21, 2018 |
| Last updated | May 21, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 60758912 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.