Provider Demographics
NPI:1891193306
Name:HASELRIG, CINDA SHEA (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:CINDA
Middle Name:SHEA
Last Name:HASELRIG
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:CINDA
Other - Middle Name:SHEA
Other - Last Name:CADWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:325 9TH AVE
Mailing Address - Street 2:BOX 359819
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-2420
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:325 9TH AVE
Practice Address - Street 2:BOX 359819
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-2420
Practice Address - Country:US
Practice Address - Phone:206-744-3000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-16
Last Update Date:2014-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL00002796235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist