OrganizationActive
Abigail Desjardien, M.a. Ccc-Slp, LLC
NPI 1750856415 · Multi-Specialty Clinic/Center · Kenmore, WA
Provider details
- NPI number
- 1750856415
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Abigail Desjardien, Speech Language Pathologist
- License
- LL60051932 (WA)
Practice location
18208 66th Ave Ne Ste 200
Kenmore, WA 98028-7949
Phone: (425) 419-6199
Fax: (855) 891-8297
Mailing address
19207 63rd Ave Ne
Kenmore, WA 98028-3329
Registry dates
- Enumerated
- 2018-10-09
- Last updated
- 2018-10-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.