Provider Demographics
NPI:1598230252
Name:SLOANE, DEANNA (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:DEANNA
Middle Name:
Last Name:SLOANE
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:DEANNA
Other - Middle Name:
Other - Last Name:BOZZO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3326 E BADGER RD
Mailing Address - Street 2:
Mailing Address - City:EVERSON
Mailing Address - State:WA
Mailing Address - Zip Code:98247-9232
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:216 EVERSON GOSHEN RD
Practice Address - Street 2:
Practice Address - City:EVERSON
Practice Address - State:WA
Practice Address - Zip Code:98247-9795
Practice Address - Country:US
Practice Address - Phone:360-966-2030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-09
Last Update Date:2018-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist