Charlotte A Hagen CCC-SLP

NPI 1174720320 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1174720320
Gender Female
Enumeration Date 06/29/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
414 S UNIVERSITY RD
SPOKANE VALLEY WA, 99206-5555, US
Phone (509) 924-4650
Fax (509) 228-0851
Business Location
2018 W RIVERSIDE AVE
APT. A
SPOKANE WA, 99201-1411, US
Phone (509) 624-0528
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Idaho
License Number SLP-1108
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According to our database, Charlotte A Hagen CCC-SLP NPI is 1174720320, taxonomy code is 235Z00000X and license number is SLP-1108, license state is located at Idaho. Charlotte A Hagen CCC-SLP physically located at 414 S University Rd, Spokane Valley WA, 99206-5555. NPI Number Charlotte A Hagen CCC-SLP has the Individual type.

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1174720320 NPI number is provided on an as is basis without warranty of any kind. 1174720320 is maintained by the National Plan & Provider Enumeration System. The contents of Charlotte A Hagen CCC-SLP are for informational purposes only.