Provider Demographics
NPI:1982944187
Name:CASEY, JAMIE LYNN (MS ED, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:LYNN
Last Name:CASEY
Suffix:
Gender:F
Credentials:MS ED, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6775 DOUGHBOYS LN
Mailing Address - Street 2:
Mailing Address - City:OOLTEWAH
Mailing Address - State:TN
Mailing Address - Zip Code:37363-3163
Mailing Address - Country:US
Mailing Address - Phone:423-403-6206
Mailing Address - Fax:423-374-6171
Practice Address - Street 1:6775 DOUGHBOYS LN
Practice Address - Street 2:
Practice Address - City:OOLTEWAH
Practice Address - State:TN
Practice Address - Zip Code:37363-3163
Practice Address - Country:US
Practice Address - Phone:423-403-6206
Practice Address - Fax:423-374-6171
Is Sole Proprietor?:No
Enumeration Date:2013-02-25
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist