Individual
MRS. JAMIE LYNN SUMMITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S, CCC/SLP
Contact information
Practice address
101 CRUME RD, VINE GROVE, KY 40175
(270) 352-7061
(844) 688-4227
Mailing address
101 CRUME RD, VINE GROVE, KY 40175-1125
(270) 352-7061
(844) 688-4227
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
142491
KY
235Z00000X
Speech-Language Pathologist
Primary
3731
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GNU3-661
—
KY
Enumeration date
08/25/2010
Last updated
01/17/2023
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