Ruth Ann Hackenbracht, SLP
Individual provider Active NPI Speech-Language Pathologist · Sultan, WA
NPI 1770547283 · NPPES record last updated Dec 2, 2021
Key facts
- NPI
- 1770547283
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- LL00002761 (WA)
- Practice address
- 13507 327TH CT SE
Sultan, WA 98294-8722 - Phone
- (425) 890-5148
- Fax
- (425) 654-0562
- NPI assigned
- Apr 12, 2006
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| LL00002761 | WA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | LL00002761 | WA | Yes |
Addresses
Primary practice location
13507 327TH CT SE
Sultan, WA 98294-8722
Mailing address
PO Box 400
Puyallup, WA 98371-8901
Phone (360) 794-1061
Other providers in Sultan, WA
- Katie Finney
- Kelsey Renee Moon Franklin
- Carl Christian Fricke
- Gypsie A Valentine Gitane
- Gregory a Hovander
- Nicholas Hakiel
- Kathryn Isely
- Rebecca Kmitta
- KSR Health Care LLC
- KSR Health Care LLC
All providers in Sultan, 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 Dec 2, 2021. 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.