Provider Demographics
NPI:1821641952
Name:HAAS, JAYME LYNN
Entity Type:Individual
Prefix:
First Name:JAYME
Middle Name:LYNN
Last Name:HAAS
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 1:13618 NATCHEZ TRL
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60467-1221
Mailing Address - Country:US
Mailing Address - Phone:708-308-7357
Mailing Address - Fax:
Practice Address - Street 1:13618 NATCHEZ TRL
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60467-1221
Practice Address - Country:US
Practice Address - Phone:708-308-7357
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-17
Last Update Date:2019-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist