Healthcare Provider Details
I. General information
NPI: 1033440714
Provider Name (Legal Business Name): NATURE'S COMMUNICATION CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/20/2010
Last Update Date: 01/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
12207 NE 8TH ST
BELLEVUE WA
98005-3113
US
IV. Provider business mailing address
PO BOX 518
BELLEVUE WA
98009-0518
US
V. Phone/Fax
- Phone: 425-458-5885
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QH0700X |
| Taxonomy | Hearing and Speech Clinic/Center |
| License Number | LL60014742 |
| License Number State | WA |
VIII. Authorized Official
Name:
KRISTIN
PERKINS
Title or Position: OWNER, SPEECH LANGUAGE PATHOLOGIST
Credential: MS CCC-SLP
Phone: 425-458-5885