Individual
JAMIE L SCANLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2006 S ANKENY BLVD BLDG 5, ANKENY, IA 50023-8995
(515) 289-9541
(515) 446-3642
Mailing address
1200 PLEASANT STREET, SOUTH 2 ROOM 236, DES MOINES, IA 50309-1406
(515) 241-6228
(515) 241-8685
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01552
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457898181
—
IA
Enumeration date
01/19/2017
Last updated
03/17/2018
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