Individual
JODIE HASTINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
11877 N TERRITORIAL RD, DEXTER, MI 48130-9570
(206) 697-3577
(360) 805-9491
Mailing address
11877 N TERRITORIAL RD, DEXTER, MI 48130-9570
(206) 697-3577
(360) 805-9491
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101009458
MI
235Z00000X
Speech-Language Pathologist
LL00002805
WA
Other
Enumeration date
06/16/2006
Last updated
08/28/2025
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