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MRS. RENAE DINA GREEN CCC-SLP
NPI 1114261864
Speech-Language Pathologist in Puyallup, WA

Active since November 19, 2012
8722 119TH STREET CT E, PUYALLUP, WA 98373(253) 445-2513 Get Directions Write a Review

NPPES record last updated: November 19, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Renae Dina Green Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. RENAE DINA GREEN CCC-SLP (NPI 1114261864) is an individual speech-language pathologist provider in Puyallup, Washington, licensed in Washington (LL60184900) and active in the NPI registry since November 2012.

NPPES Registry Identity

NPI1114261864
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. RENAE DINA GREENCredential: CCC-SLP
Location Address8722 119TH STREET CT EPuyallup, WA 98373-7974
Mailing Address8722 119th Street Ct EPuyallup, WA 98373-7974 · (253) 445-2513
Phone(253) 445-2513
Sole ProprietorYes
Enumeration DateNovember 19, 2012
✔ NPI 1114261864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in WA · LL60184900
Definition
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, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
8722 119TH STREET CT E, Puyallup, WA 98373
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Renae Green's NPI number?

The NPI number for Renae Green is 1114261864. It was assigned to this individual provider in the NPPES registry on November 19, 2012.

Where is Renae Green located?

Renae Green practices at 8722 119th Street Ct E, Puyallup, WA 98373. The listed phone number is (253) 445-2513.

What is Renae Green's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Renae Green was last updated on November 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.