| Doctor Name: | JAMIE JUANITA VANHOUTEN |
| NPI Number: | 1194852954 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 0000003059 |
| Business Practice Address: | 413 W Tyler Ave West Memphis, AR - 723014149 |
| Business Phone Number: | 8707331200 |
| Business Fax Number: | |
| Mailing Address: | 8270 Niblik Cv Apt 103, CORDOVA |
| State: | TN |
| Postal Code: | 380164126 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 02/28/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 0000003059 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TN |
| 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 |