Ethan Wash

Speech-Language Pathologist · Goodyear, AZ

Individual Active NPI

NPI number 1588192033

Practice location

2655 N Pebble Creek Pkwy
Goodyear, AZ 85395-9051
Phone
(602) 677-8992
Fax
(602) 677-8992

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NPI record

NPI
1588192033
Entity type
Individual (Type 1)
Enumeration date
May 30, 2017
Last updated
May 30, 2017
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 14069277 AZ

Mailing address

9164 W Sandra Ter
Peoria, AZ 85382-3560

About Ethan Wash

Ethan Wash is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 2655 N Pebble Creek Pkwy, Goodyear, AZ 85395-9051. The NPI number 1588192033 was assigned on May 30, 2017 and the record was last updated on May 30, 2017.

Ethan Wash lists a license in the registry: #14069277 (AZ) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ethan Wash?

The NPI number is 1588192033.

What is the phone number of Ethan Wash?

The phone number listed for the practice location is (602) 677-8992.

Where is Ethan Wash located?

2655 N Pebble Creek Pkwy, Goodyear, AZ 85395-9051.

What is the taxonomy code for Ethan Wash?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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