Provider Type Icon

ABIGAIL DESJARDIEN M.A. CCC-SLP LLC NPI 1750856415


NPI Information

NPI: 1750856415
Provider Name: ABIGAIL DESJARDIEN, M.A. CCC-SLP, LLC

Doing Business As: NORTHSHORE PEDIATRIC SPEECH AND LANGUAGE THERAPY

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
18208 66TH AVE NE STE 200
KENMORE, WA
ZIP 98028
Phone: (425) 419-6199
Get Directions

ABIGAIL DESJARDIEN, M.A. CCC-SLP, LLC is a multi-specialty clinic center in Kenmore, WA. ABIGAIL DESJARDIEN, M.A. CCC-SLP, LLC NPI is 1750856415. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Northshore Pediatric Speech And Language Therapy.

The provider's business location address is:

18208 66TH AVE NE STE 200
KENMORE, WA
ZIP 98028-949
Phone: (425) 419-6199
Fax: (855) 891-8297

The provider's authorized official is Abigail Desjardien .
The authorized official title is Speech Language Pathologist and has the following contact phone number (425) 419-6199.

The enumeration date for this NPI number is 10/9/2018 and was last updated on 10/9/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1235Z00000XSpeech-Language PathologistLL60051932WASHINGTONNo
2261QH0700XClinic/CenterHearing and SpeechNo
3261QP2000XClinic/CenterPhysical TherapyNo
4261QM1300XClinic/CenterMulti-SpecialtyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.