Provider Demographics
NPI:1568549863
Name:HARDING, JAMIE (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:
Last Name:HARDING
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:THE UNIVERSITY OF AKRON, COLLEGE OF HEALTH PROFESSIONS
Mailing Address - Street 2:SCHOOL OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44325-3001
Mailing Address - Country:US
Mailing Address - Phone:330-972-6803
Mailing Address - Fax:330-972-7884
Practice Address - Street 1:3557 COMMERCIAL DR
Practice Address - Street 2:KIDSFIRST
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333-5107
Practice Address - Country:US
Practice Address - Phone:330-926-3930
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2016-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP-7967235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1564187Medicaid
OH366518Medicare ID - Type Unspecified