Provider Demographics
NPI:1174006688
Name:ESHUIS, TESSA LEIGH (SLPA)
Entity Type:Individual
Prefix:MRS
First Name:TESSA
Middle Name:LEIGH
Last Name:ESHUIS
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8030 EMERY RD
Mailing Address - Street 2:
Mailing Address - City:LYNDEN
Mailing Address - State:WA
Mailing Address - Zip Code:98264-9415
Mailing Address - Country:US
Mailing Address - Phone:360-318-6242
Mailing Address - Fax:
Practice Address - Street 1:1203 BRADLEY RD
Practice Address - Street 2:
Practice Address - City:LYNDEN
Practice Address - State:WA
Practice Address - Zip Code:98264-9514
Practice Address - Country:US
Practice Address - Phone:360-354-4443
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-11
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA608350952355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant