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NPI Code Detail

MEDICARE: HEATHER MARIE CROUTER L.L.

MEDICARE:   HEATHER MARIE CROUTER  L.L.
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 PathologistLL00004371WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1699814558
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER MARIE CROUTER L.L.
Provider Business Mailing Address
First Line : 16120 NE 8TH ST
Second Line :
City : BELLEVUE
State : WA
Zip : 98008-3937
Country : US
Telephone Number : 425-747-4004
Fax Number : 425-747-1069
Provider Business Practice Location Address
First Line : 16120 NE 8TH ST
Second Line :
City : BELLEVUE
State : WA
Zip : 98008-3937
Country : US
Telephone Number : 425-747-4004
Fax Number : 425-747-1069
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2007
Last Update Date : 05/31/2011

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Directions to “ HEATHER MARIE CROUTER L.L.” Practice Location

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