Provider Demographics
NPI:1093050817
Name:REED, JAMIE (MA CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:
Last Name:REED
Suffix:
Gender:F
Credentials:MA CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2692 KELLEY LN NE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-7839
Mailing Address - Country:US
Mailing Address - Phone:740-536-9356
Mailing Address - Fax:
Practice Address - Street 1:2692 KELLEY LN NE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-7839
Practice Address - Country:US
Practice Address - Phone:740-536-9356
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-05
Last Update Date:2012-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP5712235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist