Healthcare Provider Details

I. General information

NPI: 1376246967
Provider Name (Legal Business Name): SEATTLE AUDIOLOGY SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2023
Last Update Date: 10/03/2025
Certification Date: 10/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12911 120TH AVE NE STE E40
KIRKLAND WA
98034-3045
US

IV. Provider business mailing address

12911 120TH AVE NE STE E40
KIRKLAND WA
98034-3045
US

V. Phone/Fax

Practice location:
  • Phone: 425-821-6600
  • Fax: 425-821-6602
Mailing address:
  • Phone: 425-821-6600
  • Fax: 425-821-6602

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY CARLOTTA AL-IZZI
Title or Position: OWNER/AUDIOLOGIST
Credential: AUD
Phone: 425-998-7752