Provider Demographics
NPI:1952932295
Name:ADAIR, ANN KATHERINE (SLPA)
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:KATHERINE
Last Name:ADAIR
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4302 RIDGEMONT DR
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98203-1833
Mailing Address - Country:US
Mailing Address - Phone:402-320-1376
Mailing Address - Fax:
Practice Address - Street 1:315 N FRENCH AVE
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223-1317
Practice Address - Country:US
Practice Address - Phone:360-618-6200
Practice Address - Fax:360-618-6215
Is Sole Proprietor?:No
Enumeration Date:2020-01-27
Last Update Date:2020-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASLPA.SP.61025612235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist