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NPI Code Detail

MEDICARE: JAMIE DEINER

MEDICARE:   JAMIE  DEINER
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 Pathologist11578CA

General Provider Information

NPI Number : 1568393460
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMIE DEINER
Provider Business Mailing Address
First Line : 1107 POTRERO AVE
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94110-3520
Country : US
Telephone Number : 415-902-6125
Fax Number :
Provider Business Practice Location Address
First Line : 555 FRANKLIN ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94102-4414
Country : US
Telephone Number : 415-241-6085
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2026
Last Update Date : 05/28/2026

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Directions to “ JAMIE DEINER ” Practice Location

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