Provider Demographics
NPI:1568830743
Name:BARTLETT, ALISON CLAIRE (SLP)
Entity Type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:CLAIRE
Last Name:BARTLETT
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 1:14931 ROSARIO RD
Mailing Address - Street 2:
Mailing Address - City:ANACORTES
Mailing Address - State:WA
Mailing Address - Zip Code:98221-8568
Mailing Address - Country:US
Mailing Address - Phone:360-299-9479
Mailing Address - Fax:
Practice Address - Street 1:8213 EAGLEFIELD DR
Practice Address - Street 2:PIONEER ELEMENTARY SCHOOL
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223-4660
Practice Address - Country:US
Practice Address - Phone:360-618-6230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-04
Last Update Date:2015-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASI 60586508235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist