Provider Demographics
NPI:1649623158
Name:DUGGER, JAIMEE PATRICIA (CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:JAIMEE
Middle Name:PATRICIA
Last Name:DUGGER
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2563 E COLONIAL AVE
Mailing Address - Street 2:
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47805-2601
Mailing Address - Country:US
Mailing Address - Phone:812-201-6583
Mailing Address - Fax:812-466-9509
Practice Address - Street 1:2563 E COLONIAL AVE
Practice Address - Street 2:
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47805-2601
Practice Address - Country:US
Practice Address - Phone:812-201-6583
Practice Address - Fax:812-466-9509
Is Sole Proprietor?:No
Enumeration Date:2016-07-20
Last Update Date:2016-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN22006404A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist