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NPI Code Detail

MEDICARE: DEANNA WESLEY

MEDICARE: DEANNA WESLEY
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 Pathologist09546MD
2235Z00000XSpeech-Language Pathologist17651OR
3235Z00000XSpeech-Language PathologistLL61469325WA

General Provider Information

NPI Number : 1124641147
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEANNA WESLEY
Provider Business Mailing Address
First Line : 7409 NE HAZEL DELL AVE STE 112
Second Line :
City : VANCOUVER
State : WA
Zip : 98665-8337
Country : US
Telephone Number : 360-597-4048
Fax Number :
Provider Business Practice Location Address
First Line : 7409 NE HAZEL DELL AVE STE 112
Second Line :
City : VANCOUVER
State : WA
Zip : 98665-8337
Country : US
Telephone Number : 360-597-4048
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2020
Last Update Date : 10/24/2023

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Practice Fax: 360-597-4572

Directions to “ DEANNA WESLEY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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