Provider Demographics
NPI:1801134424
Name:SILTALA, PATRICIA JENNINGS (M S, SLP)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:JENNINGS
Last Name:SILTALA
Suffix:
Gender:F
Credentials:M S, SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:214 W MAIN
Mailing Address - Street 2:PUYALLUP SPECIAL SERVICES
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98371-5328
Mailing Address - Country:US
Mailing Address - Phone:253-841-8700
Mailing Address - Fax:253-841-8655
Practice Address - Street 1:214 W MAIN
Practice Address - Street 2:PUYALLUP SPECIAL SERVICES
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98371-5328
Practice Address - Country:US
Practice Address - Phone:253-841-8700
Practice Address - Fax:253-841-8655
Is Sole Proprietor?:No
Enumeration Date:2013-01-17
Last Update Date:2013-01-17
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist