Provider Demographics
NPI:1104796879
Name:VALENCIA, JOANNA RITA (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:JOANNA
Middle Name:RITA
Last Name:VALENCIA
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180 NICKERSON ST STE 108
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-1631
Mailing Address - Country:US
Mailing Address - Phone:206-547-2500
Mailing Address - Fax:206-547-9775
Practice Address - Street 1:180 NICKERSON ST STE 108
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-1631
Practice Address - Country:US
Practice Address - Phone:206-547-2500
Practice Address - Fax:206-547-9775
Is Sole Proprietor?:No
Enumeration Date:2025-11-07
Last Update Date:2025-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASLP.LL.70028739235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist