Provider Demographics
NPI:1821215682
Name:MAGAR, NANCY K (MA, CCC-SLP, COM)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:K
Last Name:MAGAR
Suffix:
Gender:F
Credentials:MA, CCC-SLP, COM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1530 BELLEVUE WAY SE STE B
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-7110
Mailing Address - Country:US
Mailing Address - Phone:425-454-1420
Mailing Address - Fax:
Practice Address - Street 1:1530 BELLEVUE WAY SE STE B
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-7110
Practice Address - Country:US
Practice Address - Phone:425-454-1420
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist