Jesica C Pruitt MS, CCC-SLP

NPI 1366519001 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1366519001
Gender Female
Enumeration Date 11/29/2006
Last Updated 09/12/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
9818 NE 200TH ST
BOTHELL WA, 98011-2300, US
Phone (425) 941-3768
Fax
Business Location
9818 NE 200TH ST
BOTHELL WA, 98011-2300, US
Phone (425) 941-3768
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Washington
License Number LL00004202
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According to our database, Mrs. Jesica C Pruitt MS, CCC-SLP NPI is 1366519001, taxonomy code is 235Z00000X and license number is LL00004202, license state is located at Washington. Jesica C Pruitt MS, CCC-SLP physically located at 9818 Ne 200th St, Bothell WA, 98011-2300. NPI Number Jesica C Pruitt MS, CCC-SLP has the Individual type.

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1366519001 NPI number is provided on an as is basis without warranty of any kind. 1366519001 is maintained by the National Plan & Provider Enumeration System. The contents of Jesica C Pruitt MS, CCC-SLP are for informational purposes only.