Individual
KATHERINE MARIE JACOLEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CFY SLP
Contact information
Practice address
2919 1ST AVE W, SEATTLE, WA 98119-2329
(206) 286-2322
(206) 286-2301
Mailing address
2122 2ND AVE N APT C, SEATTLE, WA 98109-2367
(206) 286-2322
(206) 286-2301
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7014954
—
WA
Enumeration date
02/22/2007
Last updated
07/09/2007
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