Healthcare Provider Details

I. General information

NPI: 1598528986
Provider Name (Legal Business Name): PLAYFUL PATHWAYS SPEECH THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2024
Last Update Date: 04/10/2025
Certification Date: 04/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19123 13TH AVE SE
BOTHELL WA
98012-6866
US

IV. Provider business mailing address

19123 13TH AVE SE
BOTHELL WA
98012-6866
US

V. Phone/Fax

Practice location:
  • Phone: 480-431-0775
  • Fax:
Mailing address:
  • Phone: 480-431-0775
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: ASWATHY PRASHANTH
Title or Position: SPEECH LANGUAGE PATHOLOGIST
Credential: CCC-SLP
Phone: 480-431-0775