Provider Demographics
NPI:1598846420
Name:JAMISON, SHEILA GRAY (MS CCCSLP)
Entity Type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:GRAY
Last Name:JAMISON
Suffix:
Gender:F
Credentials:MS CCCSLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24710 BRAUTIGAM
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:TX
Mailing Address - Zip Code:77355
Mailing Address - Country:US
Mailing Address - Phone:281-356-6272
Mailing Address - Fax:281-288-1081
Practice Address - Street 1:19627 I-45 NORTH
Practice Address - Street 2:SUITE 105
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77388
Practice Address - Country:US
Practice Address - Phone:281-288-1061
Practice Address - Fax:281-288-1081
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16508235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist