Provider Demographics
NPI:1568933711
Name:CLAUSEN, SANDRA ELLEN (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:ELLEN
Last Name:CLAUSEN
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:SANDRA
Other - Middle Name:ELLEN
Other - Last Name:SPAULDING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCC-SLP
Mailing Address - Street 1:944 GREEN AVE
Mailing Address - Street 2:
Mailing Address - City:MANSON
Mailing Address - State:WA
Mailing Address - Zip Code:98831-9757
Mailing Address - Country:US
Mailing Address - Phone:509-687-5940
Mailing Address - Fax:
Practice Address - Street 1:950 TOTEM POLE RD
Practice Address - Street 2:
Practice Address - City:MANSON
Practice Address - State:WA
Practice Address - Zip Code:98831-9418
Practice Address - Country:US
Practice Address - Phone:509-687-9502
Practice Address - Fax:509-687-9537
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-16
Last Update Date:2018-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist