Provider Demographics
NPI:1114602299
Name:TOOMEY, JANA BROOKS
Entity Type:Individual
Prefix:
First Name:JANA
Middle Name:BROOKS
Last Name:TOOMEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JANA
Other - Middle Name:LEE
Other - Last Name:BROOKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:22443 SE 240TH ST STE 102
Mailing Address - Street 2:
Mailing Address - City:MAPLE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:98038-5846
Mailing Address - Country:US
Mailing Address - Phone:425-358-3070
Mailing Address - Fax:
Practice Address - Street 1:22443 SE 240TH ST STE 102
Practice Address - Street 2:
Practice Address - City:MAPLE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:98038-5846
Practice Address - Country:US
Practice Address - Phone:425-358-3070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-16
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL61403512235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist