Provider Demographics
NPI:1740994227
Name:NEPSA, SATINA MARIE (MS, CCC/SLP)
Entity type:Individual
Prefix:
First Name:SATINA
Middle Name:MARIE
Last Name:NEPSA
Suffix:
Gender:F
Credentials:MS, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15553 207TH PL SE
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98059-9030
Mailing Address - Country:US
Mailing Address - Phone:219-771-9059
Mailing Address - Fax:
Practice Address - Street 1:15553 207TH PL SE
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98059-9030
Practice Address - Country:US
Practice Address - Phone:219-771-9059
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-10
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA235Z00000X
WALL00004691235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist