Provider Demographics
NPI:1194455873
Name:LETEMPT, NORMAN BEAR (CCC-SLP)
Entity Type:Individual
Prefix:MR
First Name:NORMAN
Middle Name:BEAR
Last Name:LETEMPT
Suffix:
Gender:M
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:179 DIECKMAN RD
Mailing Address - Street 2:
Mailing Address - City:CHEHALIS
Mailing Address - State:WA
Mailing Address - Zip Code:98532-9614
Mailing Address - Country:US
Mailing Address - Phone:360-748-3384
Mailing Address - Fax:
Practice Address - Street 1:405 NW BENTON AVE
Practice Address - Street 2:
Practice Address - City:WINLOCK
Practice Address - State:WA
Practice Address - Zip Code:98596-9470
Practice Address - Country:US
Practice Address - Phone:360-785-3516
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-15
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist