Doctor Name: | JASON D. OLIVER |
NPI Number: | 1497044820 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | SLP |
License Number: | SLP005424 |
Business Practice Address: | 210 E Derenne Avenue Savannah, GA - 314056736 |
Business Phone Number: | 9126445300 |
Business Fax Number: | 9126445260 |
Mailing Address: | 460 Mall Bvld, Ste.b SAVANNAH |
State: | GA |
Postal Code: | 31406 |
Phone Number: | 9126445300 |
Fax Number: | 9126445260 |
NPI Enumeration Date: | 04/06/2011 |
NPI Last Update Date: | 02/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP005424 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
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 |