Provider Demographics
NPI:1497898225
Name:PECHOUS, MARIE R (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:MARIE
Middle Name:R
Last Name:PECHOUS
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 W 7TH AVE
Mailing Address - Street 2:SUITE 130
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-2843
Mailing Address - Country:US
Mailing Address - Phone:509-869-3809
Mailing Address - Fax:509-838-1163
Practice Address - Street 1:701 W 7TH AVE
Practice Address - Street 2:SUITE 130
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-2843
Practice Address - Country:US
Practice Address - Phone:509-869-3809
Practice Address - Fax:509-838-1163
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL00004374235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist