Jazmin Brito, CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Spanaway, WA

NPI 1508533993 · NPPES record last updated Aug 24, 2021

Key facts

NPI
1508533993
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
61174848 (WA)
Practice address
516 176TH St E
Spanaway, WA 98387-8335
Phone
(253) 800-2000
NPI assigned
Aug 24, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
61174848WAMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 61174848 WA Yes

Addresses

Primary practice location

516 176TH St E
Spanaway, WA 98387-8335

Mailing address

1554 Market St Apt 503
Tacoma, WA 98402-3316

Other providers in Spanaway, WA

All providers in Spanaway, WA · Speech-Language Pathologist in Washington

Sources for this page

Verify at the official NPI Registry.