Linda Taggart-Ross, MSPA CCC-SP

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

NPI 1366795296 · NPPES record last updated Oct 16, 2012

Key facts

NPI
1366795296
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
LL 00001384 (WA)
Practice address
1201 Galloway St
Steilacoom, WA 98388-3909
Phone
(253) 983-2568
NPI assigned
Oct 16, 2012
Sex
Female
Sole proprietor
Yes

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
LL 00001384WAMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X LL 00001384 WA Yes

Addresses

Primary practice location

1201 Galloway St
Steilacoom, WA 98388-3909

Mailing address

510 Chambers St
Steilacoom, WA 98388-3300
Phone (253) 983-2568

Other providers in Steilacoom, WA

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

Sources for this page

Verify at the official NPI Registry.