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

Speech-Language Pathologist · King George, VA

Individual Active NPI

NPI number 1881059624

Practice location

5254 Potomac Dr Ste a
King George, VA 22485
Phone
(540) 850-3940
Fax
(571) 550-9758

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NPI record

NPI
1881059624
Entity type
Individual (Type 1)
Enumeration date
December 21, 2015
Last updated
July 14, 2018
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 2202007993 VA

Mailing address

7072 Kitchen Dr
King George, VA 22485-5225
Phone
(540) 850-3940
Fax
(571) 550-9758

Other practice locations (1)

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

About Jill Wine

Jill Bain Wine, M.A., CCC-SLP is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 5254 Potomac Dr Ste a, King George, VA 22485. The NPI number 1881059624 was assigned on December 21, 2015 and the record was last updated on July 14, 2018.

Jill Wine lists a license in the registry: #2202007993 (VA) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jill Bain Wine, M.A., CCC-SLP?

The NPI number is 1881059624.

What is the phone number of Jill Wine?

The phone number listed for the practice location is (540) 850-3940.

Where is Jill Wine located?

5254 Potomac Dr Ste a, King George, VA 22485.

What is the taxonomy code for Jill Wine?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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