Lakeside Center for Autism, LLC
NPI #1588802953 in Bellevue, Washington
Provider Information
- NPI Number
- 1588802953
- Entity Type
- Organization
- Organization Name
- Lakeside Center for Autism, LLC
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Jan 23, 2009
- Last Updated
- Jan 3, 2024
Practice Location
- Address
- 5150 VILLAGE PARK DR SE
- City
- Bellevue
- State
- Washington
- ZIP Code
- 98006-6652
- Phone
- (425) 657-0620
Authorized Official
- Name
- DAN STACHELSKI, MS CCC-SLP
- Title
- EXECUTIVE DIRECTOR
- Phone
- (425) 657-0620
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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