MEDICARE: STEPHANIE ABUTIN MS, CF-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	LL61502461	WA

General Provider Information

NPI Number	:	1902522444
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE ABUTIN MS, CF-SLP

Provider Business Mailing Address
First Line	:	923 196TH PL SW
Second Line	:
City	:	LYNNWOOD
State	:	WA
Zip	:	98036-7189
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3213 EASTLAKE AVE E STE A
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98102-7127
Country	:	US
Telephone Number	:	206-861-8200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2022
Last Update Date	:	01/13/2026

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