Van Vleet, Jodi
Van Vleet, Jodi is an individual health care provider with primary practice located at 10811 Se Kent Kangley Rd , Kent WA 98030-7108. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Van Vleet, Jodi can be contacted via phone (253) 854-5660.Contact Information
Primary practice address
10811 Se Kent Kangley Rd
Kent WA 98030-7108
Phone: (253) 854-5660
Fax: (253) 854-7025
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | LL00003302 | Washington |
Profile Details
| NPI number | 1083759906 |
|---|---|
| LBN Legal business name | Van Vleet, Jodi |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083759906 | NPPES |
| Washington | MEDICAID | 7018518 |
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