Individual
JADA BEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CF SLP
Contact information
Practice address
630 24TH ST, WASHOUGAL, WA 98671-1652
(360) 954-3800
Mailing address
4855 EVERGREEN WAY, WASHOUGAL, WA 98671-9176
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
SP 60213104
WA
235Z00000X
Speech-Language Pathologist
Primary
SI61594142
WA
Other
Enumeration date
10/19/2012
Last updated
05/24/2025
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