Individual
MS. JAMIE B MYRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS. CCC-SLP
Contact information
Practice address
400 PARNASSUS AVE, SUITE A68 BOX 0228, SAN FRANCISCO, CA 94143-2202
(415) 353-1756
Mailing address
1248 VERNON TER, SAN MATEO, CA 94402-3330
(415) 308-0535
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
19157
CA
Other
Enumeration date
08/31/2012
Last updated
09/02/2021
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