Pacific Speech and Language Inc

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL00002196 Issued in WA

Legal business name

PACIFIC SPEECH AND LANGUAGE INC

Practice address

11030 5TH Ave NE
Ste B
Seattle, WA 98125

Phone

(206) 522-6464

Fax

(206) 522-6661

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Michelle L Gramza, M.A., CCC-SLP, PCNPI 1689769101

Title

Owner/Ceo/President

Phone

(206) 522-6464

Specialties & licenses 1

Addresses

Other names 1

• Pacific Speech and Language Former legal business name

Locations

Practitioners 2

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

• Michelle Gramza, M.A., CCC-SLP, PC

  • Speech-Language Pathologist
  • Shoreline, WA
  • NPI 1689769101
  NPD (past) Authorized official
• Terri S Lesage-Oyamot, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Aiea, HI
  • NPI 1689876385
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1366535965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11030 5TH AVE NE",
            "address_2": "STE B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98125",
            "telephone_number": "206-522-6464",
            "fax_number": "206-522-6661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11030 5TH AVE NE",
            "address_2": "STE B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98125",
            "telephone_number": "206-522-6464",
            "fax_number": "206-522-6661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC SPEECH AND LANGUAGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "GRAMZA",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/CEO/PRESIDENT",
        "authorized_official_telephone_number": "206-522-6464",
        "authorized_official_credential": "M.A., CCC-SLP, PC"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00002196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Speech and Language",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Speech-Language Pathologist in Seattle, WA
• Providers in Seattle, 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 Jul 17, 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.