Provider Demographics
NPI:1124714092
Name:FALK, WENDY SUE (HAS)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:SUE
Last Name:FALK
Suffix:
Gender:F
Credentials:HAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8225 N DIVISION ST STE C
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99208-5714
Mailing Address - Country:US
Mailing Address - Phone:509-328-6731
Mailing Address - Fax:
Practice Address - Street 1:8225 N DIVISION ST STE C
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99208-5714
Practice Address - Country:US
Practice Address - Phone:509-328-6731
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-13
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61263141237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist