Doctor Name: | MRS. JAMIE LYNN PANAI |
NPI Number: | 1487995668 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC/SLP |
License Number: | 13349 |
Business Practice Address: | 835 Crater Lake Ave Medford, OR - 975046505 |
Business Phone Number: | 5417737717 |
Business Fax Number: | |
Mailing Address: | 4401 Hillcrest Rd, MEDFORD |
State: | OR |
Postal Code: | 975049645 |
Phone Number: | 9406368755 |
Fax Number: | |
NPI Enumeration Date: | 03/12/2013 |
NPI Last Update Date: | 03/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 13349 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
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 |