MEDICARE: JAMIE SEYKORA 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
1	235Z00000X	Speech-Language Pathologist	37405012	TX

General Provider Information

NPI Number	:	1538829650
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMIE SEYKORA SLP

Provider Business Mailing Address
First Line	:	3381 BLACKBURN ST
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75204-1521
Country	:	US
Telephone Number	:	940-282-9289
Fax Number	:

Provider Business Practice Location Address
First Line	:	1820 PEARL ST
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75006-6119
Country	:	US
Telephone Number	:	214-736-2230
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/30/2021
Last Update Date	:	11/21/2024

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Directions to “ JAMIE SEYKORA SLP” Practice Location

Language	Start Address	Practice Location

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