Provider Demographics
NPI:1063817997
Name:ALLSOP-HOWAT, TERILEE (MSPA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:TERILEE
Middle Name:
Last Name:ALLSOP-HOWAT
Suffix:
Gender:F
Credentials:MSPA, CCC-SLP
Other - Prefix:
Other - First Name:TERILEE
Other - Middle Name:
Other - Last Name:ALLSOP-HOWAT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSPA, CCC-SLP
Mailing Address - Street 1:135 MEADOWMEER LN
Mailing Address - Street 2:
Mailing Address - City:SEQUIM
Mailing Address - State:WA
Mailing Address - Zip Code:98382-8892
Mailing Address - Country:US
Mailing Address - Phone:360-683-6350
Mailing Address - Fax:
Practice Address - Street 1:503 N SEQUIM AVE
Practice Address - Street 2:
Practice Address - City:SEQUIM
Practice Address - State:WA
Practice Address - Zip Code:98382-3161
Practice Address - Country:US
Practice Address - Phone:360-582-3242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-04
Last Update Date:2014-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL60387451235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist