OrganizationActive
Form Speech and Swallowing PLLC
NPI 1053286120 · Speech-Language Pathologist · Spokane, WA
Provider details
- NPI number
- 1053286120
- Entity type
- Organization
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Organization subpart
- No
- Authorized official
- Gloria Lee, Speech-Language Pathologist(608) 352-0650
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
100 N Howard St. Ste R
Spokane, WA 99201
Phone: (608) 352-0650
Street-level locationGet directions
Mailing address
12819 Se 38th St # 255
Bellevue, WA 98006-1326
Registry dates
- Enumerated
- 2025-10-08
- Last updated
- 2025-10-08
- Certified
- 2025-09-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.