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

Jill Bain Wine, MA, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1881059624

Jill Bain Wine, MA, CCC-SLP is a Speech-Language Pathologist in King George, Virginia. Practices as a sole proprietor and works from 2 locations. Licensed in Virginia.

Licensed in
VA
In the registry since
2015
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

See every abbreviation used in this directory →

Practice location Address checks out

5254 Potomac Dr Ste A
King George, VA 22485
Phone: (540) 850-3940
Fax: (571) 550-9758
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2765 Jefferson Davis Hwy, Stafford, VA 22554-8331 — (540) 720-2261

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 2202007993 (VA)

Record details

NPI number1881059624
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP
Sole proprietorYes
NPI enumeratedDecember 21, 2015
Last updated in NPPESJuly 14, 2018

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