Provider Demographics
NPI:1457660185
Name:ESKRIDGE, JAIME LYNN (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:JAIME
Middle Name:LYNN
Last Name:ESKRIDGE
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:2289 PARK ESTATES DR
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30078-6853
Mailing Address - Country:US
Mailing Address - Phone:904-521-6954
Mailing Address - Fax:
Practice Address - Street 1:1241 ROCKFIELD CIR
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30093-3859
Practice Address - Country:US
Practice Address - Phone:904-521-6954
Practice Address - Fax:904-521-6954
Is Sole Proprietor?:No
Enumeration Date:2010-09-29
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP007885235Z00000X
FLSZ5221235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist