Provider Demographics
NPI:1407196488
Name:NORTHWEST LANGUAGE AND LEARNING SERVICES
Entity Type:Organization
Organization Name:NORTHWEST LANGUAGE AND LEARNING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:MORONEY
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:206-568-2080
Mailing Address - Street 1:1808 E UNION ST
Mailing Address - Street 2:SUITE G
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-2872
Mailing Address - Country:US
Mailing Address - Phone:206-568-2080
Mailing Address - Fax:206-709-7940
Practice Address - Street 1:1808 E UNION ST
Practice Address - Street 2:SUITE G
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-2872
Practice Address - Country:US
Practice Address - Phone:206-568-2080
Practice Address - Fax:206-709-7940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-27
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL00001544235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty