Provider Demographics
NPI:1982944492
Name:WASJUTIN, SILVIA MIRTA (SLP)
Entity Type:Individual
Prefix:MRS
First Name:SILVIA
Middle Name:MIRTA
Last Name:WASJUTIN
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:SILVIA
Other - Middle Name:
Other - Last Name:WASJUTIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:SLP
Mailing Address - Street 1:5649 W CAMINO CIELO
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-9706
Mailing Address - Country:US
Mailing Address - Phone:805-692-1806
Mailing Address - Fax:
Practice Address - Street 1:215 W MISSION ST
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-2820
Practice Address - Country:US
Practice Address - Phone:805-253-2547
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-20
Last Update Date:2021-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP 9258235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist