Provider Demographics
NPI:1336102953
Name:ARNOLD, KERI LYNN (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:KERI
Middle Name:LYNN
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10808 313TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:CARNATION
Mailing Address - State:WA
Mailing Address - Zip Code:98014-9744
Mailing Address - Country:US
Mailing Address - Phone:425-591-6625
Mailing Address - Fax:
Practice Address - Street 1:10808 313TH AVE NE
Practice Address - Street 2:
Practice Address - City:CARNATION
Practice Address - State:WA
Practice Address - Zip Code:98014-9744
Practice Address - Country:US
Practice Address - Phone:425-591-6625
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-07
Last Update Date:2015-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL00003611235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist