Provider Demographics
NPI:1700455425
Name:GARST, JAMIE SUE
Entity Type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:SUE
Last Name:GARST
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:JAMIE
Other - Middle Name:SUE
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:501 N SARAH DEEL DR APT 817
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-2655
Mailing Address - Country:US
Mailing Address - Phone:254-537-2484
Mailing Address - Fax:
Practice Address - Street 1:300 PENNSYLVANIA ST
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-5231
Practice Address - Country:US
Practice Address - Phone:281-284-4800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-18
Last Update Date:2021-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist