NPI 1790984201 · live from the CMS NPI Registry
Jessica Lynn Aubin, CCC-SLP
Speech-Language Pathologist, in Bainbridge Island, WA. National Provider Identifier 1790984201, active.
NPI record
| NPI | 1790984201 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 330 Madison Ave S Ste 106, Bainbridge Island, WA 98110 |
| Practice phone | 206-842-4765 |
| Mailing address | 8285 Ne Beck Rd, Bainbridge Island, WA 98110 |
| Enumerated | July 13, 2007 |
| Last updated | March 16, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | LL00004536 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.