Provider Demographics
NPI:1104270131
Name:VOLLMER-COX, JEANNE
Entity type:Individual
Prefix:
First Name:JEANNE
Middle Name:
Last Name:VOLLMER-COX
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:406 W YACOLT RD
Mailing Address - Street 2:
Mailing Address - City:YACOLT
Mailing Address - State:WA
Mailing Address - Zip Code:98675-5426
Mailing Address - Country:US
Mailing Address - Phone:360-885-6005
Mailing Address - Fax:
Practice Address - Street 1:406 W YACOLT RD
Practice Address - Street 2:
Practice Address - City:YACOLT
Practice Address - State:WA
Practice Address - Zip Code:98675-5426
Practice Address - Country:US
Practice Address - Phone:360-885-6005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-15
Last Update Date:2016-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist