Newman Kennedy Speech And Language Center | |
1501 Parker Way Suite 104 Mount Vernon WA 98273-2599 | |
(360) 424-9645 | |
(360) 428-3915 |
Full Name | Newman Kennedy Speech And Language Center |
---|---|
Speciality | Community/behavioral Health |
Location | 1501 Parker Way, Mount Vernon, Washington |
Authorized Official Name and Position | Linda L Newman-kennedy (OWNER) |
Authorized Official Contact | 3604249645 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Newman Kennedy Speech And Language Center 1501 Parker Way Suite 104 Mount Vernon WA 98273-2599 Ph: (360) 424-9645 | Newman Kennedy Speech And Language Center 1501 Parker Way Suite 104 Mount Vernon WA 98273-2599 Ph: (360) 424-9645 |
NPI Number | 1235459272 |
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Provider Enumeration Date | 06/01/2010 |
Last Update Date | 06/01/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235459272 | NPI | - | NPPES |
8369167 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | LL00001164 (Washington) | Primary |
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