Provider Demographics
NPI:1457686438
Name:SOH, YONG-KIAN (MA, SLP CFY)
Entity Type:Individual
Prefix:
First Name:YONG-KIAN
Middle Name:
Last Name:SOH
Suffix:
Gender:F
Credentials:MA, SLP CFY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9512 213TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98053-2001
Mailing Address - Country:US
Mailing Address - Phone:425-898-7960
Mailing Address - Fax:
Practice Address - Street 1:1601 E YESLER WAY
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-5640
Practice Address - Country:US
Practice Address - Phone:206-323-7100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-08
Last Update Date:2009-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASI 60112751235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist