Provider Demographics
NPI:1508907031
Name:FLOOD, JAMIE CHRISTINE (MS, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:JAMIE
Middle Name:CHRISTINE
Last Name:FLOOD
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:MS
Other - First Name:JAMIE
Other - Middle Name:CHRISTINE
Other - Last Name:ROCABADO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:817 NORTH K. STREET
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33463
Mailing Address - Country:US
Mailing Address - Phone:561-523-5575
Mailing Address - Fax:
Practice Address - Street 1:817 N K ST
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33460-2628
Practice Address - Country:US
Practice Address - Phone:561-523-5575
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA8820235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist