Provider Demographics
NPI:1801911144
Name:AHLERS, JAMEE ELIZABETH (MS-CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:JAMEE
Middle Name:ELIZABETH
Last Name:AHLERS
Suffix:
Gender:F
Credentials:MS-CCC-SLP
Other - Prefix:
Other - First Name:JAMEE
Other - Middle Name:
Other - Last Name:JACQUOT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:924 SOUTHGATE DR
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62223-3538
Mailing Address - Country:US
Mailing Address - Phone:618-394-9522
Mailing Address - Fax:
Practice Address - Street 1:206 WINTERBERRY DR
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:IL
Practice Address - Zip Code:62220-2743
Practice Address - Country:US
Practice Address - Phone:618-567-9654
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2020-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2001031975235Z00000X
IL146006804235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist