Frederick, Jamie L

Frederick, Jamie L is an individual health care provider with primary practice located at 111 Merriman Ave E , Wynne AR 72396-2941. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Frederick, Jamie L can be contacted via phone (870) 270-7963.

Contact Information

Primary practice address
111 Merriman Ave E Wynne AR 72396-2941
Phone: (870) 270-7963
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1275823494
LBN Legal business name Frederick, Jamie L
Credentials MCD, CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2011
Last updated Dec 5th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275823494 NPPES
Arkansas MEDICAID 185789721

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