Individual provider · Type 1 NPI

Tabitha Defazio

Speech-Language Pathologist · Kelso, WA

NPI number 1093629636 Active

Practice location

500 Redpath St
Kelso, WA 98626-3737

Mailing address

602 S 6th Ave Apt 4
Kelso, WA 98626-2500

Other practice locations

  • 1904 Allen St, Kelso, WA 98626-4910 · (360) 501-1800

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XSLPI.SI.70130074 (WA)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1093629636

Tabitha Defazio's National Provider Identifier is 1093629636, issued on Sep 30, 2026. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Kelso, WA. The record was last updated on Sep 30, 2026.