NPI 1679648034 · live from the CMS NPI Registry
A B C D INC
Speech-Language Pathologist, in Seattle, WA. National Provider Identifier 1679648034, active.
NPI record
| NPI | 1679648034 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 2611 Ne 125th St, Ste 225, Seattle, WA 98125 |
| Practice phone | 206-361-6884 |
| Enumerated | November 21, 2006 |
| Last updated | September 11, 2025 |
| Authorized official | Thomas Duhamel, Corporation President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical | 103TC0700X | 601074971 (WA) |
| Psychologist | 103T00000X | 601074971 (WA) |
| Speech-Language Pathologist, primary | 235Z00000X | 601074971 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.