Individual
JAMIE RAE CHAMPION
Active
Individual
JAMIE RAE CHAMPION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.H.D.
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY-373
ID
103TC0700X
Clinical Psychologist
PSY 373
ID
Other
Enumeration date
08/03/2006
Last updated
09/11/2025
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