NPI Registry.org

Blue Jay Speech & Language Therapy Services, Llc

NPI Registration Record

Provider / OrganizationNPIDate Certified
BLUE JAY SPEECH & LANGUAGE THERAPY SERVICES, LLC15387863062020-06-28
Other Names:
Entity TypeOrganization
Provider OrganizationBLUE JAY SPEECH & LANGUAGE THERAPY SERVICES, LLC
Practice Office Address16508 SE 24TH ST STE 204
VANCOUVER, WA US
Practice Office Telephone3603142252
Mailing Address16508 SE 24TH ST STE 204
VANCOUVER, WA 986834321 US
Business Telephone3603142252
Authorized OfficialJESSICA BULLOCK, OWNER
3603142252
HPT Codes
CodeLicense NoState
235Z00000X PRIMARY
193400000X SINGGroup Code
OPI Codes
Governmental Registrations [CAGE/NCAGE/DUNS]

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