Provider Demographics
NPI:1700384575
Name:CRIMES, JASMINE (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:JASMINE
Middle Name:
Last Name:CRIMES
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:JASMINE
Other - Middle Name:
Other - Last Name:BUCKINS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:947 E JOHNSTOWN RD # 285
Mailing Address - Street 2:
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-1851
Mailing Address - Country:US
Mailing Address - Phone:614-344-1725
Mailing Address - Fax:
Practice Address - Street 1:470 W BROAD ST # 1072
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-2759
Practice Address - Country:US
Practice Address - Phone:614-344-1725
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-26
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist