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Deactivated NPI 1386783694 Deactivated / Inactive NPI Female Practitioner

Carolyn Louise Harestad , MA

Speech-Language Pathologist • Federal Way, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Carolyn Harestad has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 05, 2007
NPI Deactivation Date January 06, 2020
Total Practice Duration ~13 Years of Practice (2007 – 2020)

Professional Overview & Biography Verified Profile Summary

Carolyn Harestad, MA was a registered Speech-Language Pathologist practicing in Federal Way, WA. Throughout an active medical career spanning 13 years, Carolyn Harestad provided care at the practice location at 33515 10 PL S until profile deactivation on 2020-01-06.

Practice Location & Contact Primary Location

Practice Address

33515 10 Pl S
13 Cc Manning And Associates

Federal Way, WA 980037300

Telephone 2538742599
Fax 2538742392
Associated Practice Facility / Clinic
🏢 Carolyn L Harestad Facility NPI 1487876702

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Federal Way, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.0 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
82 Specialists

Practicing in Federal Way, WA (4167 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License WA LL00001045

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Carol Nelson , MS CCC

Speech-Language Pathologist

NPI 1205975612

MSCCC

Kenneth Jones , MSPA CCCA

Audiologist-Hearing Aid Fitter

NPI 1427197730

MSPACCCA

Reagan Charuhas , MA

Audiologist-Hearing Aid Fitter

NPI 1801935119

Master of Arts

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 06, 2020

Record deactivated on January 06, 2020

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 33515 10 PL S, 13 CC MANNING AND ASSOCIATES, FEDERAL WAY, WA 980037300 (Tel: 2538742599)

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Updated Business Mailing Address July 08, 2007

Registered at 33515 10TH PL S, 13, FEDERAL WAY, WA 980037300 (Tel: 2538742599)

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Provider Name / Credentials Updated July 08, 2007

Recorded as CAROLYN HARESTAD, MA

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Speech-Language Pathologist (License #LL00001045 in WA)

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Initial NPI Registration & Enumeration February 05, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1386783694
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 05, 2007
Last Update: July 08, 2007
Deactivation Date: January 06, 2020

Mailing Address

33515 10th Pl S, 13

Federal Way, WA 980037300

Phone: 2538742599

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.