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

Individual provider Speech-Language Pathologist · NPI 1114261864

Mrs. Renae Dina Green, CCC-SLP is a Speech-Language Pathologist in Puyallup, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2012
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

8722 119th Street Ct E
Puyallup, WA 98373-7974
Phone: (253) 445-2513
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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 LL60184900 (WA)

Record details

NPI number1114261864
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedNovember 19, 2012
Last updated in NPPESNovember 19, 2012

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