Individual
JENNIFER A KELLOGG-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
710 NW JUNIPER ST, SUITE 108, ISSAQUAH, WA 98027-2717
(425) 392-4965
(425) 391-2555
Mailing address
710 NW JUNIPER ST, SUITE 108, ISSAQUAH, WA 98027-2717
(425) 392-4965
(425) 391-2555
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00003561
WA
Other
Enumeration date
10/24/2007
Last updated
10/24/2007
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