IndividualActive
Carli Van Leishout
NPI 1497425748 · Speech-Language Assistant · Enumclaw, WA
Provider details
- NPI number
- 1497425748
- Entity type
- Individual
- Primary specialty
- Speech-Language AssistantSpeech, Language and Hearing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 60781959 (WA)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
2929 Mcdougall Ave
Enumclaw, WA 98022-7410
Phone: (360) 802-7104
Approximate (ZIP-level) locationGet directions
Mailing address
6222 S Alder St Apt 3
Tacoma, WA 98409-4117
Registry dates
- Enumerated
- 2021-09-17
- Last updated
- 2021-09-17
- Certified
- 2021-09-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.