Doctor Name: | MRS. JAMIE C KING |
NPI Number: | 1518188192 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 4879 |
Business Practice Address: | 8128 Florida Blvd Denham Springs, LA - 70726 |
Business Phone Number: | 2257918666 |
Business Fax Number: | 2257912891 |
Mailing Address: | 8049 Fitzgerald Drive, DENHAM SPRINGS |
State: | LA |
Postal Code: | 70706 |
Phone Number: | 2256673374 |
Fax Number: | |
NPI Enumeration Date: | 05/01/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 4879 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
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 |