Individual
JAMIE MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, CCC-SLP
Contact information
Practice address
1 JOHN MARSHALL DR, HUNTINGTON, WV 25755-5345
(304) 696-3641
Mailing address
19 DEER RUN RD, BARBOURSVILLE, WV 25504-9613
(772) 532-7823
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
14529
FL
235Z00000X
Speech-Language Pathologist
Primary
SLP-2006
WV
Other
Enumeration date
05/25/2016
Last updated
11/16/2021
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