Marks, Mattie Malloy

Marks, Mattie Malloy is an individual health care provider with primary practice located at 10605 Carter St Se , Yelm WA 98597-8486. 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. Marks, Mattie Malloy can be contacted via phone (360) 458-6020.

Contact Information

Primary practice address
10605 Carter St Se Yelm WA 98597-8486
Phone: (360) 458-6020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 60772408 Washington

Profile Details

NPI number 1376058669
LBN Legal business name Marks, Mattie Malloy
Credentials M.ED. CF-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2017
Last updated Dec 7th, 2017 - about 8 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 1376058669 NPPES
Washington Other 60772408 WASHINGTON DEPARTMENT OF HEALTH

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