Norman Bear Letempt, CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Winlock, WA

NPI 1194455873 · NPPES record last updated Jun 15, 2022

Key facts

NPI
1194455873
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
Practice address
405 NW Benton Ave
Winlock, WA 98596-9470
Phone
(360) 785-3516
NPI assigned
Jun 15, 2022
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Yes

Addresses

Primary practice location

405 NW Benton Ave
Winlock, WA 98596-9470

Mailing address

179 Dieckman Rd
Chehalis, WA 98532-9614
Phone (360) 748-3384

Other practice location 1

2057 SW Salsbury Ave
Chehalis, WA 98532-4225
Phone (360) 262-1990

Other providers in Winlock, WA

All providers in Winlock, WA · Speech-Language Pathologist in Washington

Sources for this page

Verify at the official NPI Registry.