Provider Demographics
NPI:1780972620
Name:CAGE, JAIME ELIZABETH (MS CCC-SLP)
Entity type:Individual
Prefix:MISS
First Name:JAIME
Middle Name:ELIZABETH
Last Name:CAGE
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 1:2840 EASTLAKE AVE E APT 601
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98102-3040
Mailing Address - Country:US
Mailing Address - Phone:916-213-0679
Mailing Address - Fax:
Practice Address - Street 1:2840 EASTLAKE AVE E APT 601
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98102-3040
Practice Address - Country:US
Practice Address - Phone:916-213-0679
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-13
Last Update Date:2011-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL60062977235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist