| Provail Therapeutic And Assistive Technology Clinic | |
|
12550 Aurora Ave N, Seattle, WA 98133-8036 | |
| (206) 363-7303 | |
| (206) 826-0181 |
| Full Name | Provail Therapeutic And Assistive Technology Clinic |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 12550 Aurora Ave N, Seattle, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477760197 | NPI | - | NPPES |
| 55-0174569 | Other | WA | LABOR AND INDUSTRIES |
| 7070949-8347395 | Medicaid | WA | |
| 7681083-8464992 | Medicaid | WA | |
| 7368087 | Other | WA | AETNA CLINIC NUMBER |
| 7070949-8347429 | Medicaid | WA | |
| 7681083-8415291 | Medicaid | WA | |
| 397572001 | Other | WA | GROUP HEALTH PROVIDER NUM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SI00004391 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Provail Therapeutic And Assistive Technology Clinic 12550 Aurora Ave N, Seattle, WA 98133-8036 Ph: (206) 363-7303 | Provail Therapeutic And Assistive Technology Clinic 12550 Aurora Ave N, Seattle, WA 98133-8036 Ph: (206) 363-7303 |
Amy L Donaldson, PH.D., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: University Of Washington Autism Ctr, Box 357920, Seattle, WA 98195 Phone: 206-897-1801 | |
Ms. Carol L Ray, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4507 Sunnyside Ave N, Unit D, Seattle, WA 98103 Phone: 206-849-3937 | |
Ms. Linda E Eblen, MA Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4800 Sand Point Way Ne, Mail Stop W-6839, Seattle, WA 98105 Phone: 206-987-6164 | |
Mrs. Genevieve Houdet-cote, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1100 9th Ave, Ms:h4-pmr, Seattle, WA 98101 Phone: 206-341-0461 | |
Daelene King, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9100 5th Ave Ne, Seattle, WA 98115 Phone: 206-526-2662 | |
Molly Beier, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 325 9th Ave, Seattle, WA 98104 Phone: 206-744-3000 | |
Vassalo Speech And Language Llc Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 2300 W Bertona St, Seattle, WA 98199 Phone: 978-444-0321 |