Provider Demographics
NPI:1548609555
Name:TOOLEY, JAMIE L
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:L
Last Name:TOOLEY
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 1:850 DANIELS RD
Mailing Address - Street 2:
Mailing Address - City:CLARKSBURG
Mailing Address - State:MA
Mailing Address - Zip Code:01247-2966
Mailing Address - Country:US
Mailing Address - Phone:413-884-4933
Mailing Address - Fax:
Practice Address - Street 1:850 DANIELS RD
Practice Address - Street 2:
Practice Address - City:CLARKSBURG
Practice Address - State:MA
Practice Address - Zip Code:01247-2966
Practice Address - Country:US
Practice Address - Phone:413-884-4933
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-24
Last Update Date:2013-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist