Lakeside Speech Language and Learning, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL00003914 Issued in WA

Legal business name

LAKESIDE SPEECH LANGUAGE AND LEARNING, LLC

Practice address

7829 Center Blvd Ste 223
Snoqualmie, WA 98065

Phone

(360) 303-9130

Fax

(206) 333-0031

NPI assigned

Apr 3, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Daniel James Stachelski, MS,CCC-SLPNPI 1558393785

Title

Owner/Operator

Phone

(360) 303-9130

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel J Stachelski, MS, CCC-SLP

  • Speech-Language Pathologist
  • Snoqualmie, WA
  • NPI 1558393785
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1265553382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7125 SILENT CREEK AVE SE",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "98065",
            "telephone_number": "360-303-7130",
            "fax_number": "206-333-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7829 CENTER BLVD STE 223",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "98065",
            "telephone_number": "360-303-9130",
            "fax_number": "206-333-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE SPEECH LANGUAGE AND LEARNING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "STACHELSKI",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "360-303-9130",
        "authorized_official_credential": "MS,CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00003914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Labass, PSY.D., LMHC
• Cassandra Labeach
• Kimberly Gay Lacy, M.A. L.M.H.C.A.
• Erik Lagace, BS
• Karen Lajambe, ARNP
• Mary E Lambe, MD FAAFP
• Sheryl Lynn Landstrom
• Lawrence E. Mast DDS
• Deborah Anne Lawrence, OTA
• Anna Lee, DDS

• Speech-Language Pathologist in Snoqualmie, WA
• Providers in Snoqualmie, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.