Provider Demographics
NPI:1053896662
Name:MCFARLAND, MATTHEW (SLP)
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:
Last Name:MCFARLAND
Suffix:
Gender:M
Credentials:SLP
Other - Prefix:
Other - First Name:MATTHEW
Other - Middle Name:
Other - Last Name:CALZADILLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10570 GREENWOOD AVE N APT 213
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-7882
Mailing Address - Country:US
Mailing Address - Phone:206-245-9955
Mailing Address - Fax:
Practice Address - Street 1:415 1ST AVE N STE 200
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-4765
Practice Address - Country:US
Practice Address - Phone:206-859-5030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-28
Last Update Date:2018-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASI60891327235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist