| Doctor Name: | JAMIE SUZANNE LIST |
| NPI Number: | 1104970458 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M. ED., CCC-SLP |
| License Number: | SP1484 |
| Business Practice Address: | 5 Remington Dr Little Rock, AR - 722048202 |
| Business Phone Number: | 5018508788 |
| Business Fax Number: | 5018508791 |
| Mailing Address: | 7317 Faulkner Lake Rd, NORTH LITTLE ROCK |
| State: | AR |
| Postal Code: | 721179541 |
| Phone Number: | 5019459536 |
| Fax Number: | |
| NPI Enumeration Date: | 01/23/2007 |
| NPI Last Update Date: | 04/20/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SP1484 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| 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 |