Alysia Blanding, SLP

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

NPI 1336760578 · NPPES record last updated Apr 28, 2020

Key facts

NPI
1336760578
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SI60924675 (WA)
Practice address
7100 116TH Ave SE
Newcastle, WA 98056-1107
Phone
(425) 204-4087
NPI assigned
Apr 28, 2020
Sex
Female
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

State licenses

LicenseStateTypeSpecialty
SI60924675WAMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SI60924675 WA Yes

Addresses

Primary practice location

7100 116TH Ave SE
Newcastle, WA 98056-1107

Mailing address

7912 110TH Ave SE Apt 703
Newcastle, WA 98056-1675
Phone (425) 435-4709

Other providers in Newcastle, WA

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

Sources for this page

Verify at the official NPI Registry.