| Alisse Raby, MS CCC-SLP | |
| 
					402 15th Ave Se Ste 100, Puyallup, WA 98372-3709  | |
| (253) 697-5200 | |
| (253) 697-5050 | 
| Full Name | Alisse Raby | 
|---|---|
| Gender | Female | 
| Speciality | Speech-language Pathologist | 
| Location | 402 15th Ave Se Ste 100, Puyallup, Washington | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1851731434 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | LL60382558 (Washington) | Primary | 
| Provider Name | Multicare Health System | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Alisse Raby, MS CCC-SLP 402 15th Ave Se Ste 100, Puyallup, WA 98372-3709 Ph: (253) 697-5200  | Alisse Raby, MS CCC-SLP 402 15th Ave Se Ste 100, Puyallup, WA 98372-3709 Ph: (253) 697-5200  | 
Ms. Angela Farnsworth, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 214 W Main, Puyallup, WA 98371 Phone: 253-841-8700  | |
Mrs. Amrita Nambiar, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 920 12th Ave Se, Puyallup, WA 98372 Phone: 253-841-3422  | |
Kaara Fairbanks,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2929 5th Ave Ne Ste A, Puyallup, WA 98372 Phone: 253-447-8216  | |
Mrs. Nicole Malene Bosch,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 214 W Main, Puyallup, WA 98371 Phone: 253-841-8700  | |
Dana Welter, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10324 Canyon Rd E, Puyallup, WA 98373 Phone: 360-584-6918  | |
Kristie L Gibney, MA CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 214 W Main, Puyallup, WA 98371 Phone: 253-841-8700  | |
Ms. Rebecca Christina Bird, MA CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 214 W Main, Puyallup, WA 98371 Phone: 253-841-8700  |