Wellformed AI

NPI 1942743695 · live from the CMS NPI Registry

A Communication Space PLLC

Speech-Language Pathologist, in Tacoma, WA. National Provider Identifier 1942743695, active.

NPI record

NPI1942743695 Type 2 · organization
StatusActive
Primary specialtySpeech-Language Pathologist, 235Z00000X
Practice location4204 S Alaska St, Tacoma, WA 98418
Practice phone253-534-5665
EnumeratedNovember 29, 2016
Last updatedNovember 29, 2016
Authorized officialKristen Bailey, Speech-Language Pathologist/Owner

Taxonomies and licenses

TaxonomyCodeLicense
Speech-Language Pathologist, primary235Z00000X604059477 (WA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.