Provider Demographics
NPI:1740304336
Name:JENNINGS, SUZANNE E (AUD)
Entity type:Individual
Prefix:
First Name:SUZANNE
Middle Name:E
Last Name:JENNINGS
Suffix:
Gender:
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2114 JAMES ST
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-4140
Mailing Address - Country:US
Mailing Address - Phone:360-527-8525
Mailing Address - Fax:
Practice Address - Street 1:2114 JAMES ST
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-4140
Practice Address - Country:US
Practice Address - Phone:360-527-8525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALD00003109237600000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0170563OtherL&I PROVIDER NUMBER
WALD00003109OtherDEPT OF HEALTH LICENSE