Organization · Type 2 NPI

Abigail Desjardien, M.a. Ccc-Slp, LLC

Multi-Specialty Clinic/Center · Kenmore, WA

NPI number 1750856415 Active

Practice location

18208 66th Ave NE Ste 200
Kenmore, WA 98028-7949

Call (425) 419-6199 Map

Fax (855) 891-8297

Mailing address

19207 63rd Ave NE
Kenmore, WA 98028-3329

Specialties and licenses

Taxonomy	Code	License
Speech-Language Pathologist	235Z00000X	LL60051932 (WA)
Hearing and Speech Clinic/Center	261QH0700X	None listed
Multi-Specialty Clinic/Center Primary	261QM1300X	None listed
Physical Therapy Clinic/Center	261QP2000X	None listed

Multi-Specialty Clinic/Center: Definition to come...

9 other providers at this address

NPI record

NPI: 1750856415
Entity type: Organization (Type 2)
Issued: Oct 9, 2018
Last updated: Oct 9, 2018
Status: Active

Other names

<unavail>
Northshore Pediatric Speech and Language Therapy · doing business as
Northshore Pediatric Speech and Language Therapy · doing business as

Authorized official

Abigail Desjardien, M.A. CCC-SLP
Speech Language Pathologist
(425) 419-6199

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1750856415

Abigail Desjardien, M.a. Ccc-Slp, LLC's National Provider Identifier is 1750856415, issued on Oct 9, 2018. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Kenmore, WA. The record was last updated on Oct 9, 2018.