Provider Demographics
NPI:1346443314
Name:BIGELOW, SHARON LINDEN (MS CCC)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:LINDEN
Last Name:BIGELOW
Suffix:
Gender:F
Credentials:MS CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26311 NE WINSOR RD
Mailing Address - Street 2:
Mailing Address - City:BRUSH PRAIRIE
Mailing Address - State:WA
Mailing Address - Zip Code:98606-5809
Mailing Address - Country:US
Mailing Address - Phone:360-604-8075
Mailing Address - Fax:
Practice Address - Street 1:26311 NE WINSOR RD
Practice Address - Street 2:
Practice Address - City:BRUSH PRAIRIE
Practice Address - State:WA
Practice Address - Zip Code:98606-5809
Practice Address - Country:US
Practice Address - Phone:360-604-8075
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist