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1598803694

NPI Code Detail

MEDICARE: JOANNE M FENN SLP

MEDICARE: JOANNE M FENN SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	LL00001185	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	US2376794	OTHER	WA	AETNA SPECIALIST PIN
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	P00239584	OTHER	WA	RAILROAD MC#
5	0039572	OTHER	WA	LABOR AND INDUSTRIES #
6	7660FE	OTHER	WA	BLUE SHIELD #

General Provider Information

NPI Number	:	1598803694
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOANNE M FENN SLP

Provider Business Mailing Address
First Line	:	1100 OLIVE WAY MSC M4-PA
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98101-1873
Country	:	US
Telephone Number	:	206-515-5811
Fax Number	:

Provider Business Practice Location Address
First Line	:	1100 9TH AVE
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98101-2756
Country	:	US
Telephone Number	:	206-223-6600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/01/2007
Last Update Date	:	12/21/2025

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Directions to “ JOANNE M FENN SLP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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