Provider Demographics
NPI:1578646618
Name:YOUK, KELLI M (MA CCC SLP)
Entity Type:Individual
Prefix:
First Name:KELLI
Middle Name:M
Last Name:YOUK
Suffix:
Gender:F
Credentials:MA CCC SLP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:217 W CATALDO
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201-2217
Mailing Address - Country:US
Mailing Address - Phone:509-624-2326
Mailing Address - Fax:509-744-3040
Practice Address - Street 1:5901 N MAYFAIR
Practice Address - Street 2:STE 101
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99208-1127
Practice Address - Country:US
Practice Address - Phone:509-489-3514
Practice Address - Fax:509-483-2546
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WALL00004333235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist