Provider Demographics
NPI:1679901375
Name:PATTERSON, DARCE (CERTIFIED SLPA)
Entity type:Individual
Prefix:
First Name:DARCE
Middle Name:
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:CERTIFIED SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:608 S. 8TH ST.
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-4614
Mailing Address - Country:US
Mailing Address - Phone:253-571-1096
Mailing Address - Fax:
Practice Address - Street 1:608 S. 8TH ST.
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-4614
Practice Address - Country:US
Practice Address - Phone:253-571-1096
Practice Address - Fax:253-571-1098
Is Sole Proprietor?:No
Enumeration Date:2013-10-16
Last Update Date:2013-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASP601813642355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
WASP60181364OtherWASHINGTON STATE DEPARTMENT OF HEALTH SLPA CERTIFICATION