Individual
JAMIE DYESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, L-SLP, CCC-SLP
Contact information
Practice address
13909 FLORIDA BLVD, LIVINGSTON, LA 70754-6340
(225) 686-7044
Mailing address
13909 FLORIDA BLVD, LIVINGSTON, LA 70754-6340
(409) 882-2128
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8447
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2645854
—
LA
Enumeration date
07/29/2020
Last updated
05/06/2024
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