Individual
MRS. JENNIFER R STARKENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
820 S SKAGIT ST, BURLINGTON, WA 98233-2418
(360) 757-3366
Mailing address
8505 CEDARHOME DR, STANWOOD, WA 98292-9539
(206) 235-1565
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
LL0000307
WA
235Z00000X
Speech-Language Pathologist
Primary
LL00003074
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8400483
—
WA
01
—
LL00003074
WA STATE DEPT OF HEALTH
WA
05
—
WATING FOR
—
FL
Enumeration date
02/07/2007
Last updated
10/24/2012
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