Provider Demographics
NPI:1134437874
Name:ANDREWS, MAURITA FLORENCE (MA, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:MAURITA
Middle Name:FLORENCE
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:MAURITA
Other - Middle Name:
Other - Last Name:BIRKLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13607 EAST SPRAGUE AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99216
Mailing Address - Country:US
Mailing Address - Phone:509-202-5260
Mailing Address - Fax:509-931-0780
Practice Address - Street 1:13607 EAST SPRAGUE AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99216
Practice Address - Country:US
Practice Address - Phone:509-202-5260
Practice Address - Fax:509-931-0780
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-15
Last Update Date:2017-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL60012935235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist