NPI 1629778808 · live from the CMS NPI Registry
Genell Alvarado
Speech-Language Pathologist, in Buckley, WA. National Provider Identifier 1629778808, active.
NPI record
| NPI | 1629778808 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 340 White River Park Rd, Buckley, WA 98321 |
| Practice phone | 360-829-0600 |
| Mailing address | 4909 154th Avenue Ct E, Sumner, WA 98390 |
| Enumerated | March 7, 2023 |
| Last updated | March 7, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | LL61409250 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.