Provider Demographics
NPI:1457620114
Name:CARMAN, JAMIE PATRICIA (MS CCC-SLP)
Entity Type:Individual
Prefix:MISS
First Name:JAMIE
Middle Name:PATRICIA
Last Name:CARMAN
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 CHELSEA LN
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-6035
Mailing Address - Country:US
Mailing Address - Phone:516-655-7518
Mailing Address - Fax:
Practice Address - Street 1:170 BEATRICE AVE
Practice Address - Street 2:OCEANSIDE SCHOOL #9E
Practice Address - City:OCEANSIDE
Practice Address - State:NY
Practice Address - Zip Code:11572-5946
Practice Address - Country:US
Practice Address - Phone:516-678-8510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-23
Last Update Date:2011-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021484-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist