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Contact Information

STEPHANIE K ENNIS, CCC-SLP
1100 NINTH AVE
VIRGINIA MASON MEDICAL CENTER
SEATTLE, WA98101
 Phone: 206-341-0461
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for STEPHANIE K ENNIS · (Female)

NPI Number 1669693222
Status Active
Credentials CCC-SLP (Certificate of Clinical Competance in Speech language pathology)
Entity Individual
Enumeration date 05/01/2007
Last updated 05/10/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • WA License # LL60032975
  • WI License # 2540154
  • WA Medicaid 8567869
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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