Provider Demographics
NPI:1497138309
Name:HOUY, JAMIE ANTONETTE (CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:JAMIE
Middle Name:ANTONETTE
Last Name:HOUY
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 LAWRENCE ST APT 32H
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-3888
Mailing Address - Country:US
Mailing Address - Phone:646-302-6222
Mailing Address - Fax:
Practice Address - Street 1:111 LAWRENCE ST APT 32H
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-3888
Practice Address - Country:US
Practice Address - Phone:646-302-6222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-09
Last Update Date:2015-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024599-1235Z00000X
NH1585235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist