Provider Demographics
NPI:1578038626
Name:KUBAT, DEVIN MARIE (MA CCC-SLP)
Entity Type:Individual
Prefix:
First Name:DEVIN
Middle Name:MARIE
Last Name:KUBAT
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7447 84TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:MERCER ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98040-5348
Mailing Address - Country:US
Mailing Address - Phone:206-236-3318
Mailing Address - Fax:
Practice Address - Street 1:7447 84TH AVE SE
Practice Address - Street 2:
Practice Address - City:MERCER ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98040-5348
Practice Address - Country:US
Practice Address - Phone:206-236-3318
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-04
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist