MEDICARE: NW COMMUNICATION CONNECTIONS

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	235Z00000X	Speech-Language Pathologist	LL00004530	WA

General Provider Information

NPI Number	:	1407104649
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NW COMMUNICATION CONNECTIONS

Provider Business Mailing Address
First Line	:	4700 42ND AVE SW
Second Line	:	STE 447
City	:	SEATTLE
State	:	WA
Zip	:	98116-4591
Country	:	US
Telephone Number	:	206-387-0947
Fax Number	:

Provider Business Practice Location Address
First Line	:	4700 42ND AVE SW
Second Line	:	STE 447
City	:	SEATTLE
State	:	WA
Zip	:	98116-4591
Country	:	US
Telephone Number	:	206-387-0947
Fax Number	:

Authorized Official
Title or Position	:	SPEECH-LANGUAGE PATHOLOGIST/OWNER
Name	:	MS. ANN M. MCCORMICK
Credential	:	M.S., CCC-SLP
Telephone Number	:	206-387-0947

Provider Enumeration Date	:	08/20/2012
Last Update Date	:	08/20/2012

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Directions to “NW COMMUNICATION CONNECTIONS ” Practice Location

Language	Start Address	Practice Location

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