Healthcare Provider Details

I. General information

NPI: 1568549863
Provider Name (Legal Business Name): JAMIE HARDING M.A., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 09/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3557 COMMERCIAL DR KIDSFIRST
FAIRLAWN OH
44333-5107
US

IV. Provider business mailing address

THE UNIVERSITY OF AKRON, COLLEGE OF HEALTH PROFESSIONS SCHOOL OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY
AKRON OH
44325-3001
US

V. Phone/Fax

Practice location:
  • Phone: 330-926-3930
  • Fax:
Mailing address:
  • Phone: 330-972-6803
  • Fax: 330-972-7884

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP-7967
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: