Wonderland Developmental Center

LBN: Wonderland Developmental Center
Wonderland Developmental Center is an health care organization with primary practice located at 816 N E 190Th St , Shoreline WA 98155. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is the primary health care specialty. Wonderland Developmental Center can be contacted via phone (206) 364-3777, or through Kirchoff, Mary L. via phone (206) 364-3777.

Contact Information

Primary practice address
816 N E 190Th St Shoreline WA 98155
Phone: (206) 364-3777
Fax: (206) 364-3999
Website:
Map and Directions
Authorized official contact:
Name: Kirchoff, Mary L.
Phone: (206) 364-3777

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LW 00004438 Washington
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT00000540 Washington
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT60282093 Washington
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X LL00003297 Washington
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SI 60251616 Washington
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X LL 00004312 Washington

Profile Details

NPI number 1982779948
LBN Legal business name Wonderland Developmental Center
DBA Doing business as
Authorized official Kirchoff, Mary L.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 22nd, 2006
Last updated Oct 22nd, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982779948 NPPES
Washington MEDICAID 7682651
Washington MEDICAID 7300965

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