Doctor Name: | DAVID JAMISON |
NPI Number: | 1043539869 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CCC-SLP |
License Number: | 442 |
Business Practice Address: | 1327 Kalakaket St Fairbanks, AK - 997094917 |
Business Phone Number: | 9074524517 |
Business Fax Number: | |
Mailing Address: | 3801 Spinach Creek Rd, FAIRBANKS |
State: | AK |
Postal Code: | 997095961 |
Phone Number: | 9074524517 |
Fax Number: | |
NPI Enumeration Date: | 05/18/2010 |
NPI Last Update Date: | 07/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 442 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |