Lake Stevens Speech Language and Aac, PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

LAKE STEVENS SPEECH LANGUAGE AND AAC, PLLC

Practice address

1709 124TH Ave NE Unit 997
Lake Stevens, WA 98258-1839

Phone

(360) 592-3601

NPI assigned

Sep 6, 2023

Last updated

Sep 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alison Damboise, MS, CCC-SLPNPI 1114294857

Title

Speech Language Pathologist, Owner

Phone

(360) 870-9147

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, and the practitioner matching its NPPES authorized official.

• Alison Leslie Damboise, SLP-CCC

  • Speech-Language Pathologist
  • Lake Stevens, WA
  • NPI 1114294857
  NPD Authorized official

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1568248342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 131ST DR NE",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982589783",
            "telephone_number": "360-870-9147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 124TH AVE NE UNIT 997",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982581839",
            "telephone_number": "360-592-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE STEVENS SPEECH LANGUAGE AND AAC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "DAMBOISE",
        "authorized_official_first_name": "ALISON",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST, OWNER",
        "authorized_official_telephone_number": "360-870-9147",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sarah C Langner
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• Speech-Language Pathologist in Lake Stevens, WA
• Providers in Lake Stevens, 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 Sep 6, 2023; 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.