Provider Demographics
NPI:1326824855
Name:WEST SEATTLE SPEECH AND VOICE
Entity Type:Organization
Organization Name:WEST SEATTLE SPEECH AND VOICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LUISA
Authorized Official - Middle Name:ALEJANDRA
Authorized Official - Last Name:ESQUIVEL
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:915-274-6205
Mailing Address - Street 1:6022 FAUNTLEROY WAY SW UNIT B
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98136-1615
Mailing Address - Country:US
Mailing Address - Phone:915-274-6205
Mailing Address - Fax:
Practice Address - Street 1:6022 FAUNTLEROY WAY SW UNIT B
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98136-1615
Practice Address - Country:US
Practice Address - Phone:915-274-6205
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-31
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech