Provider Demographics
NPI:1548744691
Name:FRIEDLANDER, CLARE (CF-SLP)
Entity Type:Individual
Prefix:
First Name:CLARE
Middle Name:
Last Name:FRIEDLANDER
Suffix:
Gender:F
Credentials:CF-SLP
Other - Prefix:
Other - First Name:CLARE
Other - Middle Name:
Other - Last Name:CHISHOLM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6506 34TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-7328
Mailing Address - Country:US
Mailing Address - Phone:406-396-3652
Mailing Address - Fax:
Practice Address - Street 1:2205 N 45TH ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-6903
Practice Address - Country:US
Practice Address - Phone:506-547-2500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-24
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60892956235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist