Provider Demographics
NPI:1558086314
Name:COMPLETE COMMUNICATION THERAPY
Entity Type:Organization
Organization Name:COMPLETE COMMUNICATION THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIFFITH
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:301-541-7520
Mailing Address - Street 1:PO BOX 897
Mailing Address - Street 2:
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98027-0032
Mailing Address - Country:US
Mailing Address - Phone:425-970-3119
Mailing Address - Fax:425-697-9884
Practice Address - Street 1:12190 SANIBEL CT
Practice Address - Street 2:
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20191-1223
Practice Address - Country:US
Practice Address - Phone:301-541-7520
Practice Address - Fax:425-697-9884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-04
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
Provider Identifiers
StateIdentifier IDID TypeIssuer
1508288697OtherNPI