Myrna G Head, SLPA

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SP60237194 Issued in WA

Practice address

4220 80TH St NE
Marysville, WA 98270-3423

Phone

(360) 965-0000

Fax

(360) 965-0024

NPI assigned

Apr 24, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1587686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587686400000",
    "number": "1821618307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18331 52ND AVE W APT 146",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980374426",
            "telephone_number": "541-621-5627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 80TH ST NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982703423",
            "telephone_number": "360-965-0000",
            "fax_number": "360-965-0024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18331 52nd Ave W Apt 146",
            "address_purpose": "LOCATION",
            "city": "Lynnwood",
            "state": "WA",
            "postal_code": "980374426",
            "country_code": "US",
            "telephone_number": "541-621-5627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEAD",
        "first_name": "MYRNA",
        "middle_name": "G",
        "credential": "SLPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-24",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "WA",
            "license": "SP60237194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann E Haugen, MD
• Brenda Kay Havellana, PH.D.
• Carolyn Saylor Hawk, MD, PHD
• Julie Ann Haynes, LMP
• Olyvia Nicole Hayter
• Heartsaved Afh LLC (Heartsaved LLC)
• Theressa Marie Hecht, R.PH.
• Arianne Hedley, PTA
• Tracey Bree Hedman, DPT
• Joshua Hehe, LMT

• Speech-Language Assistant in Marysville, WA
• Providers in Marysville, WA by specialty
• Speech-Language Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; 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.