Mandler, Connie Todd

Mandler, Connie Todd is an sole proprietor health care provider with primary practice located at 502 4Th St Ne , Auburn WA 98002-5020. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Mandler, Connie Todd can be contacted via phone (250) 931-4927.

Contact Information

Primary practice address
502 4Th St Ne Auburn WA 98002-5020
Fax: (253) 931-4742
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X LL 00004304 Washington

Profile Details

NPI number 1285984740
LBN Legal business name Mandler, Connie Todd
Credentials M.S., CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 12th, 2012
Last updated Sep 12th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285984740 NPPES
Other 01082902 ASHA CCC #
Other LL00004304 ASHA CCC #

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