Healthcare Provider Details

I. General information

NPI: 1134176746
Provider Name (Legal Business Name): YAKIMA VALLEY HEARING AND SPEECH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 S 12TH AVE
YAKIMA WA
98902-3112
US

IV. Provider business mailing address

303 S 12TH AVE
YAKIMA WA
98902-3112
US

V. Phone/Fax

Practice location:
  • Phone: 509-453-8248
  • Fax: 509-248-9012
Mailing address:
  • Phone: 509-453-8248
  • Fax: 509-248-9012

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State

VIII. Authorized Official

Name: SALLY BETH RODGERS
Title or Position: EXECUTIVE DIRECTOR
Credential: AU.D.
Phone: 509-453-8248