MEDICARE: MR. STANFORD NEAD MEAD 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
1	235Z00000X	Speech-Language Pathologist	LL00003733	WA

General Provider Information

NPI Number	:	1689877110
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. STANFORD NEAD MEAD CCC-SLP

Provider Business Mailing Address
First Line	:	1308 EAST FAIRBANKS STREET
Second Line	:	UNIT B
City	:	TACOMA
State	:	WA
Zip	:	98404
Country	:	US
Telephone Number	:	253-334-8409
Fax Number	:

Provider Business Practice Location Address
First Line	:	1308 E FAIRBANKS ST
Second Line	:	UNIT B
City	:	TACOMA
State	:	WA
Zip	:	98404-3808
Country	:	US
Telephone Number	:	253-334-8409
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1356787451 — SOCIA NICOLE LOVE M.D.
Practice Location Address:

2209 E 32ND ST
TACOMA, WA
98404-4922

Practice Phone: 253-593-0232
Practice Fax: 206-320-8173

1699621755 — AUDREY STONE
Practice Location Address:

840 E 49TH ST
TACOMA, WA
98404-2807

Practice Phone: 515-306-6623
Practice Fax:

1497751788 — RALPH M NEIGHBOR MD
Practice Location Address:

1708 E 44TH STREET
TACOMA, WA
98404

Practice Phone: 253-471-4553
Practice Fax: 253-284-4102

1801896436 — HEARTWOOD EXTENDED HEALTH CARE LLC
Practice Location Address:

1649 E 72ND ST
TACOMA, WA
98404-5402

Practice Phone: 253-472-9027
Practice Fax: 253-475-8206

1558353862 — DR. JOEL SCOTT JANSEN OD
Practice Location Address:

1314 72ND ST E
TACOMA, WA
98404-3343

Practice Phone: 253-531-5535
Practice Fax: 253-531-5535

1104819465 — JOHN KENNETH FORD DPM
Practice Location Address:

3407 E M ST
TACOMA, WA
98404-3931

Practice Phone: 206-275-9705
Practice Fax: 425-484-6425

Directions to “ MR. STANFORD NEAD MEAD CCC-SLP” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.