Healthcare Provider Details

I. General information

NPI: 1922916428
Provider Name (Legal Business Name): JESSICA NICOLE STIRLING SLPA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

707 S GRADY WAY STE 600
RENTON WA
98057-3227
US

IV. Provider business mailing address

11903 NE 128TH ST UNIT 107
KIRKLAND WA
98034-7264
US

V. Phone/Fax

Practice location:
  • Phone: 425-437-4370
  • Fax:
Mailing address:
  • Phone: 251-366-2602
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License NumberSLPA.SP.70154584
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: