Provider Demographics
NPI:1427505650
Name:JOSHI, PRAGNA AMIT (MS,CCC-SLP)
Entity type:Individual
Prefix:
First Name:PRAGNA
Middle Name:AMIT
Last Name:JOSHI
Suffix:
Gender:F
Credentials:MS,CCC-SLP
Other - Prefix:
Other - First Name:PRAGNA
Other - Middle Name:VISANJI
Other - Last Name:GOKANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS,CCC-SLP
Mailing Address - Street 1:24718 SE 13TH PL
Mailing Address - Street 2:
Mailing Address - City:SAMMAMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98075-8176
Mailing Address - Country:US
Mailing Address - Phone:425-761-9731
Mailing Address - Fax:
Practice Address - Street 1:400 228TH AVE NE
Practice Address - Street 2:
Practice Address - City:SAMMAMISH
Practice Address - State:WA
Practice Address - Zip Code:98074-7209
Practice Address - Country:US
Practice Address - Phone:425-761-9731
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-06
Last Update Date:2016-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL 60066176235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist