Clancy, Kathleen

Clancy, Kathleen is an sole proprietor health care provider with primary practice located at 6611 159Th Ave Ne , Redmond WA 98052-4813. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Clancy, Kathleen can be contacted via phone (425) 326-8383.

Contact Information

Primary practice address
6611 159Th Ave Ne Redmond WA 98052-4813
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 15963 California

Profile Details

NPI number 1548649320
LBN Legal business name Clancy, Kathleen
Credentials MS CCC SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 26th, 2015
Last updated Mar 11th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548649320 NPPES
Washington Other LL 60575085 STATE CREDENTIAL
Washington Other SP 15963 STATE CREDENTIAL

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