Provider Demographics
NPI:1871858530
Name:LUO, FEI (PHD, CCC-SLP)
Entity Type:Individual
Prefix:DR
First Name:FEI
Middle Name:
Last Name:LUO
Suffix:
Gender:F
Credentials:PHD, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1871 NW GILMAN BLVD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98027-8116
Mailing Address - Country:US
Mailing Address - Phone:425-652-6250
Mailing Address - Fax:
Practice Address - Street 1:1871 NW GILMAN BLVD
Practice Address - Street 2:SUITE 2
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027-8116
Practice Address - Country:US
Practice Address - Phone:425-652-6250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-09
Last Update Date:2012-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL60116349235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist