Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennifer Wines, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1700128006

Jennifer Wines, CCC-SLP is a Speech-Language Pathologist in Brush Prairie, Washington. Licensed in Washington. Registered with an NPI since 2013.

Licensed in
WA
In the registry since
2013
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

11104 NE 149th St
Brush Prairie, WA 98606-9565
Phone: (360) 885-5318
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence LL 60325334 (WA)

Record details

NPI number1700128006
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedMarch 25, 2013
Last updated in NPPESMarch 25, 2013

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