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NPI Code Detail

MEDICARE: PLAY AND TALK SPEECH SERVICES

MEDICARE: PLAY AND TALK SPEECH SERVICES
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
1261Q00000XClinic/CenterLL00004345WA

General Provider Information

NPI Number : 1285950733
Entity Type Code : Organization
Provider Name (Legal Business Name) : PLAY AND TALK SPEECH SERVICES
Provider Business Mailing Address
First Line : 3601 S MOUNT BAKER BLVD
Second Line :
City : SEATTLE
State : WA
Zip : 98144-6151
Country : US
Telephone Number : 206-465-7444
Fax Number :
Provider Business Practice Location Address
First Line : 5021 COLORADO AVE S
Second Line :
City : SEATTLE
State : WA
Zip : 98134-2404
Country : US
Telephone Number : 206-465-7444
Fax Number :
Authorized Official
Title or Position : SPEECH LANGUAGE PATHOLOGIST
Name : ASRA GHORI
Credential : M.S., CCC-SLP
Telephone Number : 206-465-7444
Provider Enumeration Date : 04/08/2010
Last Update Date : 04/08/2010

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Directions to “PLAY AND TALK SPEECH SERVICES ” 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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