Individual
JAIMIE JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 PARKHOLLOW LN, PHILADELPHIA, PA 19111-1364
(860) 471-6466
Mailing address
501 PARKHOLLOW LN, PHILADELPHIA, PA 19111-1364
(860) 471-6466
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL010650
PA
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
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