Provider Demographics
NPI:1841926391
Name:JARMAN, PATRICIA LEE
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:LEE
Last Name:JARMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15234 LAKES OF DELRAY BLVD APT 280
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-4322
Mailing Address - Country:US
Mailing Address - Phone:954-655-6875
Mailing Address - Fax:
Practice Address - Street 1:15234 LAKES OF DELRAY BLVD APT 280
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-4322
Practice Address - Country:US
Practice Address - Phone:954-655-6875
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-27
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI2124235Z00000X
FLSA7123235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist