Individual
JODI NEGRIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5704 91ST AVE SE, MERCER ISLAND, WA 98040-5033
(206) 852-7774
Mailing address
5704 91ST AVE SE, MERCER ISLAND, WA 98040-5033
(068) 527-7742
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00003554
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LL00003554
WA STATE LICENSE
WA
Enumeration date
10/12/2007
Last updated
10/18/2018
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