Dupont Speech & Language

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL00003871 Issued in WA

Legal business name

DUPONT SPEECH & LANGUAGE

Practice address

1922 Nelson St
Dupont, WA 98327-7743

Phone

(253) 273-2243

Fax

(253) 912-1477

NPI assigned

Jun 27, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Angela Mary Brinkhaus, MS

Title

SLP

Phone

(253) 273-2243

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340755200000",
    "number": "1275897985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 NELSON ST",
            "city": "DUPONT",
            "state": "WA",
            "postal_code": "983277743",
            "telephone_number": "253-273-2243",
            "fax_number": "253-912-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1922 NELSON ST",
            "city": "DUPONT",
            "state": "WA",
            "postal_code": "983277743",
            "telephone_number": "253-273-2243",
            "fax_number": "253-912-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUPONT SPEECH & LANGUAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-27",
        "last_updated": "2012-06-27",
        "status": "A",
        "authorized_official_last_name": "BRINKHAUS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "SLP",
        "authorized_official_telephone_number": "253-273-2243",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00003871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF HEALTH",
            "identifier": "LL00003871",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Dupont, WA
• Providers in Dupont, 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 Jun 27, 2012; 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.