Provider Demographics
NPI:1437599222
Name:HARTNESS, REBECCA (SLP)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:HARTNESS
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 400
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98371-8901
Mailing Address - Country:US
Mailing Address - Phone:206-547-2500
Mailing Address - Fax:206-547-9775
Practice Address - Street 1:2205 N. 45TH ST
Practice Address - Street 2:UNIT A
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103
Practice Address - Country:US
Practice Address - Phone:206-547-2500
Practice Address - Fax:206-547-9775
Is Sole Proprietor?:No
Enumeration Date:2013-06-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist