Genell Alvarado
Individual provider Active NPI Speech-Language Pathologist · Buckley, WA
NPI 1629778808 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1629778808
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- LL61409250 (WA)
- Practice address
- 340 White River Park Rd
Buckley, WA 98321 - Phone
- (360) 829-0600
- NPI assigned
- Mar 7, 2023
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| LL61409250 | WA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | LL61409250 | WA | Yes |
Addresses
Primary practice location
340 White River Park Rd
Buckley, WA 98321
Mailing address
4909 154TH Avenue CT E
Sumner, WA 98390-8276
Phone (253) 310-1326
Other providers in Buckley, WA
- Felicia Jean Ackerman
- Alpine Sport and Spine PLLC
- Kenadi Jo Armstrong
- Krista Arnold
- Mari-Lou Artz-Payne
- Sherri Elizabeth Barrett
- Michael Leigh Beall
All providers in Buckley, WA · Speech-Language Pathologist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.