Individual
JODIE M. O'TOOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1100 9TH AVE, H4PMR, SEATTLE, WA 98101-2756
(206) 341-0461
Mailing address
3238 62ND AVE SW, SEATTLE, WA 98116-2731
(206) 753-7668
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00004178
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1026OT
REGENCE BLUE SHIELD PIN
WA
01
—
84784U
REGENCE BLUE SHIELD PIN
WA
Enumeration date
05/11/2006
Last updated
07/08/2007
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