Provider Demographics
NPI:1497541619
Name:DEAN, LILY KATHLEEN (CCC-SLP)
Entity type:Individual
Prefix:
First Name:LILY
Middle Name:KATHLEEN
Last Name:DEAN
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 BICKFORD AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:SNOHOMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98290-9917
Mailing Address - Country:US
Mailing Address - Phone:425-268-4118
Mailing Address - Fax:
Practice Address - Street 1:1800 BICKFORD AVE STE 203
Practice Address - Street 2:
Practice Address - City:SNOHOMISH
Practice Address - State:WA
Practice Address - Zip Code:98290-9917
Practice Address - Country:US
Practice Address - Phone:425-268-4118
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61671588235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty