Provider Demographics
NPI:1306084371
Name:INGHAM, HELEN JANE (MPHIL CCC-SLP, MRCSL)
Entity type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:JANE
Last Name:INGHAM
Suffix:
Gender:F
Credentials:MPHIL CCC-SLP, MRCSL
Other - Prefix:
Other - First Name:HELEN
Other - Middle Name:JANE
Other - Last Name:RATTENBURY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPHIL CCC-SLP,MRCSLT
Mailing Address - Street 1:1417 NE 42ND ST
Mailing Address - Street 2:BOX 354875
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-6247
Mailing Address - Country:US
Mailing Address - Phone:206-685-7400
Mailing Address - Fax:206-543-1093
Practice Address - Street 1:4131 15TH AVE NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-6250
Practice Address - Country:US
Practice Address - Phone:206-543-5440
Practice Address - Fax:206-616-1185
Is Sole Proprietor?:No
Enumeration Date:2009-01-29
Last Update Date:2009-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL00004496235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist