Tang, Yazmin Marissa

Tang, Yazmin Marissa is an individual health care provider with primary practice located at 13010 Ne 20Th St , Bellevue WA 98005-2034. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Tang, Yazmin Marissa can be contacted via phone (425) 644-6328.

Contact Information

Primary practice address
13010 Ne 20Th St Bellevue WA 98005-2034
Phone: (425) 644-6328
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1679083950
LBN Legal business name Tang, Yazmin Marissa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2017
Last updated Apr 29th, 2021 - about 5 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 1679083950 NPPES
Washington MEDICAID PENDING

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