MEDICARE: SPEIGEL AND ASSOCIATES INC

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
1	1041C0700X	Clinical Social Worker	LW00006518	WA

General Provider Information

NPI Number	:	1205022712
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPEIGEL AND ASSOCIATES INC

Provider Business Mailing Address
First Line	:	5100 S DAWSON ST
Second Line	:	SUITE 200
City	:	SEATTLE
State	:	WA
Zip	:	98118-2100
Country	:	US
Telephone Number	:	206-232-9474
Fax Number	:	866-515-6840

Provider Business Practice Location Address
First Line	:	5100 S DAWSON ST
Second Line	:	SUITE 200
City	:	SEATTLE
State	:	WA
Zip	:	98118-2100
Country	:	US
Telephone Number	:	206-232-9474
Fax Number	:	866-515-6840

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ROBERT BARRY SPEIGEL
Credential	:	LICSW
Telephone Number	:	206-232-9474

Provider Enumeration Date	:	09/18/2007
Last Update Date	:	10/28/2010

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Directions to “SPEIGEL AND ASSOCIATES INC ” Practice Location

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