Provider Demographics
NPI:1982975538
Name:AMOH, JASMINE (MS CF-SLP)
Entity Type:Individual
Prefix:MS
First Name:JASMINE
Middle Name:
Last Name:AMOH
Suffix:
Gender:F
Credentials:MS CF-SLP
Other - Prefix:
Other - First Name:JASMINE
Other - Middle Name:
Other - Last Name:SPARKMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6525 LIVINGSTON RD
Mailing Address - Street 2:APT. 203
Mailing Address - City:OXON HILL
Mailing Address - State:MD
Mailing Address - Zip Code:20745-2936
Mailing Address - Country:US
Mailing Address - Phone:404-717-2394
Mailing Address - Fax:
Practice Address - Street 1:12021 LIVINGSTON RD
Practice Address - Street 2:
Practice Address - City:FORT WASHINGTON
Practice Address - State:MD
Practice Address - Zip Code:20744-4210
Practice Address - Country:US
Practice Address - Phone:301-203-0467
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-13
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD235Z00000X
CASP27277235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist