NPI 1689067514 · live from the CMS NPI Registry
Gladdie Altura
Speech-Language Pathologist, in Snohomish, WA. National Provider Identifier 1689067514, active.
NPI record
| NPI | 1689067514 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 12125 Chain Lake Rd, Snohomish, WA 98290 |
| Practice phone | 360-804-3100 |
| Mailing address | 15631 Ash Way Apt E302, Lynnwood, WA 98087 |
| Enumerated | March 17, 2015 |
| Last updated | September 10, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, | 235Z00000X | 110474 (TX) |
| Speech-Language Pathologist, primary | 235Z00000X | LL60749425 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.