Healthcare Provider Details

I. General information

NPI: 1972413748
Provider Name (Legal Business Name): ABIDE SPEECH AND LANGUAGE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8665 BERTHUSEN RD
LYNDEN WA
98264-9714
US

IV. Provider business mailing address

8665 BERTHUSEN RD
LYNDEN WA
98264-9714
US

V. Phone/Fax

Practice location:
  • Phone: 360-603-8624
  • Fax:
Mailing address:
  • Phone: 360-603-8624
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ABIGAIL CLARKE
Title or Position: AUTHORIZED STAFF CONSOLE
Credential:
Phone: 360-603-8624