Form Speech and Swallowing Pllc
NPI #1053286120 in Spokane, Washington
Provider Information
- NPI Number
- 1053286120
- Entity Type
- Organization
- Organization Name
- Form Speech and Swallowing Pllc
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Oct 8, 2025
- Last Updated
- Oct 8, 2025
Practice Location
- Address
- 100 N HOWARD ST. STE R
- City
- Spokane
- State
- Washington
- ZIP Code
- 99201
- Phone
- (608) 352-0650
Authorized Official
- Name
- GLORIA LEE
- Title
- SPEECH-LANGUAGE PATHOLOGIST
- Phone
- (608) 352-0650
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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