1376896480 NPI number — MRS. MARIANNA MOUDY M.S. CCC-SLP

Table of content: MRS. MARIANNA MOUDY M.S. CCC-SLP (NPI 1376896480)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376896480 NPI number — MRS. MARIANNA MOUDY M.S. CCC-SLP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MOUDY
Provider First Name:
MARIANNA
Provider Middle Name:
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
M.S. CCC-SLP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1376896480
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/26/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
39237 258TH AVE SE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ENUMCLAW
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98022-8867
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
817-721-7350
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
22443 SE 240TH PL
Provider Second Line Business Practice Location Address:
SUITE B101
Provider Business Practice Location Address City Name:
MAPLE VALLEY
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98038-5898
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-358-4885
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/26/2012

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X , with the licence number:  LL60306687 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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