Provider Demographics
NPI:1043921901
Name:ROBERTS, JAMARI DANIELLE
Entity Type:Individual
Prefix:MRS
First Name:JAMARI
Middle Name:DANIELLE
Last Name:ROBERTS
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 1:806 DORA PL
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-6818
Mailing Address - Country:US
Mailing Address - Phone:832-253-2190
Mailing Address - Fax:
Practice Address - Street 1:806 DORA PL
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-6818
Practice Address - Country:US
Practice Address - Phone:832-253-2190
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-12
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist