Doctor Name: | JAMIE MARIE SHUBERT |
NPI Number: | 1912138249 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | RPE5743 |
Business Practice Address: | 4330 N Pershing Ave Ste A1 Stockton, CA - 952076953 |
Business Phone Number: | 2099573900 |
Business Fax Number: | |
Mailing Address: | 1460 Washington Blvd Ste 2014, CONCORD |
State: | CA |
Postal Code: | 945214048 |
Phone Number: | 9256729440 |
Fax Number: | |
NPI Enumeration Date: | 08/04/2009 |
NPI Last Update Date: | 08/04/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | RPE5743 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |