Doctor Name: | JAMIE NICOLE BATE |
NPI Number: | 1912100967 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SL008312 |
Business Practice Address: | 130 Bill George Dr Waynesburg, PA - 153708122 |
Business Phone Number: | 7246273441 |
Business Fax Number: | |
Mailing Address: | 341 Ceylon Rd, CARMICHAELS |
State: | PA |
Postal Code: | 153201317 |
Phone Number: | 7248807010 |
Fax Number: | |
NPI Enumeration Date: | 06/07/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL008312 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |