Doctor Name: | MRS. CHRISTY LEA JAYNES |
NPI Number: | 1104922756 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. CCC-SLP |
License Number: | 2002009353 |
Business Practice Address: | 300 Floyd Dr Sikeston, MO - 638013960 |
Business Phone Number: | 5734720397 |
Business Fax Number: | 5734720409 |
Mailing Address: | 147 Albert Dr, SIKESTON |
State: | MO |
Postal Code: | 638013888 |
Phone Number: | 5734723061 |
Fax Number: | |
NPI Enumeration Date: | 09/14/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2002009353 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
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 |