Individual provider · Type 1 NPI

Jill Bain Wine, M.A., CCC-SLP

Speech-Language Pathologist · King George, VA

NPI number 1881059624 Active

Practice location

5254 Potomac Dr Ste A
King George, VA 22485

Call (540) 850-3940 Map

Fax (571) 550-9758

Mailing address

7072 Kitchen Dr
King George, VA 22485-5225

Other practice locations

  • 2765 Jefferson Davis Hwy, Ste. 203, Stafford, VA 22554-8331 · (540) 720-2261

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X2202007993 (VA)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1881059624

Jill Bain Wine, M.A., CCC-SLP's National Provider Identifier is 1881059624, issued on Dec 21, 2015. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in King George, VA. The record was last updated on Jul 14, 2018.