Doctor Name: | JAIMEE M LEGG |
NPI Number: | 1437546942 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 111110 |
Business Practice Address: | 1102 Winkler Ave Killeen, TX - 765426249 |
Business Phone Number: | 2546348505 |
Business Fax Number: | 2542217710 |
Mailing Address: | 605 Donnie Ave, KILLEEN |
State: | TX |
Postal Code: | 765418918 |
Phone Number: | 2546348505 |
Fax Number: | 2542217710 |
NPI Enumeration Date: | 04/22/2015 |
NPI Last Update Date: | 04/25/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 111110 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
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 |