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NPI Code Detail

MEDICARE: JAMIE LYNN GIVENS MS/CCC-SLP

MEDICARE: JAMIE LYNN GIVENS MS/CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist
2235Z00000XSpeech-Language PathologistSLP.0001069CO

General Provider Information

NPI Number : 1356778518
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMIE LYNN GIVENS MS/CCC-SLP
Provider Business Mailing Address
First Line : 14097 ROARING FORK CIR
Second Line :
City : BROOMFIELD
State : CO
Zip : 80023-3924
Country : US
Telephone Number : 970-380-1674
Fax Number :
Provider Business Practice Location Address
First Line : 1777 S HARRISON ST STE 200
Second Line :
City : DENVER
State : CO
Zip : 80210-3957
Country : US
Telephone Number : 720-706-3396
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2013
Last Update Date : 11/07/2023

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