Provider Demographics
NPI:1528317229
Name:BENTZ, JOCELYN (MA, CCC-SP)
Entity type:Individual
Prefix:
First Name:JOCELYN
Middle Name:
Last Name:BENTZ
Suffix:
Gender:F
Credentials:MA, CCC-SP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 200TH PL SW
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-7096
Mailing Address - Country:US
Mailing Address - Phone:425-431-1115
Mailing Address - Fax:
Practice Address - Street 1:2000 200TH PL SW
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-7096
Practice Address - Country:US
Practice Address - Phone:425-431-1115
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-10
Last Update Date:2012-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist