Individual provider · Type 1 NPI

Carli Van Leishout

Speech-Language Assistant · Enumclaw, WA

NPI number 1497425748 Active

Practice location

2929 Mcdougall Ave
Enumclaw, WA 98022-7410

Call (360) 802-7104 Map

Mailing address

6222 S Alder St Apt 3
Tacoma, WA 98409-4117

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Assistant Primary 2355S0801X60781959 (WA)

Speech-Language Assistant: Definition to come...

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About NPI 1497425748

Carli Van Leishout's National Provider Identifier is 1497425748, issued on Sep 17, 2021. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in Enumclaw, WA. The record was last updated on Sep 17, 2021.