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NPI Code Detail

MEDICARE: ELIZABETH GRAHAM BUDKE CCC-SLP

MEDICARE: ELIZABETH GRAHAM BUDKE CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistLL60753272WA

General Provider Information

NPI Number : 1033648357
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH GRAHAM BUDKE CCC-SLP
Provider Business Mailing Address
First Line : 337 W 14TH AVE
Second Line :
City : SPOKANE
State : WA
Zip : 99204-3617
Country : US
Telephone Number : 15098473373
Fax Number :
Provider Business Practice Location Address
First Line : 7411 N NEVADA ST
Second Line :
City : SPOKANE
State : WA
Zip : 99208-5518
Country : US
Telephone Number : 509-489-2273
Fax Number : 509-482-3041
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2017
Last Update Date : 06/09/2017

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Directions to “ ELIZABETH GRAHAM BUDKE CCC-SLP” Practice Location

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