Provider Demographics
NPI:1518694637
Name:CABRERA-THOMPSON, DESTINY
Entity type:Individual
Prefix:
First Name:DESTINY
Middle Name:
Last Name:CABRERA-THOMPSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1523 132ND ST SE
Mailing Address - Street 2:STE C #1010
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98208-7200
Mailing Address - Country:US
Mailing Address - Phone:253-241-3707
Mailing Address - Fax:
Practice Address - Street 1:1523 132ND ST SE
Practice Address - Street 2:STE C #1010
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98208-7200
Practice Address - Country:US
Practice Address - Phone:253-241-3707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-08
Last Update Date:2024-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist