Provider Demographics
NPI:1891987038
Name:TRIMBLE, JENNIFER CHRISTINE (MED CF SLP)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:CHRISTINE
Last Name:TRIMBLE
Suffix:
Gender:F
Credentials:MED CF SLP
Other - Prefix:MS
Other - First Name:JENNIFER
Other - Middle Name:CHRISTINE
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:476 CHERRY LN
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801-8903
Mailing Address - Country:US
Mailing Address - Phone:509-393-8504
Mailing Address - Fax:
Practice Address - Street 1:476 CHERRY LN
Practice Address - Street 2:
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-8903
Practice Address - Country:US
Practice Address - Phone:509-393-8504
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-13
Last Update Date:2014-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL60032972235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist