Provider Demographics
NPI:1982252094
Name:MUNSEY-RISELEY, ANNA (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:MUNSEY-RISELEY
Suffix:
Gender:
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 1:192 ISLAND LOOP
Mailing Address - Street 2:
Mailing Address - City:ROCK ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98850-9304
Mailing Address - Country:US
Mailing Address - Phone:509-429-2953
Mailing Address - Fax:
Practice Address - Street 1:192 ISLAND LOOP
Practice Address - Street 2:
Practice Address - City:ROCK ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98850-9304
Practice Address - Country:US
Practice Address - Phone:509-429-2953
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-01
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL60979313235Z00000X
WA60973913235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist