Social Skills Laboratory, PLLC
Speech-Language Pathologist, in Bellevue, WA. Organization (NPI-2).
NPI number1144966946
StatusActive
Last updated in NPPESMay 5, 2022
Details
- NPI
- 1144966946
- Entity type
- Organization (NPI-2)
- Legal business name
- Social Skills Laboratory, PLLC
- Organization subpart
- No
- Enumeration date
- May 5, 2022
- Certification date
- May 5, 2022
- Last updated
- May 5, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | – | Yes |
Practice location
123 112th Ave Ne Apt 226Bellevue, WA 98004-6489
Phone 425-229-9036
Mailing address
123 112th Ave Ne Apt 226Bellevue, WA 98004-6489
Phone 425-229-9036
Authorized official
John Asher Williamson
Owner
4252299036
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