Provider Demographics
NPI:1295262301
Name:GRIFFITH, JAMIE ANN
Entity type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:ANN
Last Name:GRIFFITH
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:PO BOX 119
Mailing Address - Street 2:
Mailing Address - City:CHAMBERLAIN
Mailing Address - State:SD
Mailing Address - Zip Code:57325-0119
Mailing Address - Country:US
Mailing Address - Phone:605-234-4460
Mailing Address - Fax:
Practice Address - Street 1:301 E KELLAM AVE
Practice Address - Street 2:
Practice Address - City:CHAMBERLAIN
Practice Address - State:SD
Practice Address - Zip Code:57325-1418
Practice Address - Country:US
Practice Address - Phone:605-234-4460
Practice Address - Fax:605-730-1032
Is Sole Proprietor?:No
Enumeration Date:2017-05-19
Last Update Date:2017-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD166-SLP235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist