Jamie M Park, CCC-SLP
Speech-Language Pathologist, in Groton, Massachusetts
1740995406- Practice location
- 164 Wyman RD, Groton, MA 01450-1402
- Phone
- 978-382-2592
- Fax
- —
- Last updated
- January 17, 2023
Jamie Marie Park is a Speech-Language Pathologist, based in Groton, MA. Jamie Marie Park practices in Groton, MA and has the professional credentials of CCC-SLP. The NPI Number for Jamie Marie Park is 1740995406 and holds a License No. 78179 (MA). The current practice location address for Jamie Marie Park is 164 Wyman RD, Groton, MA 01450-1402 and can be reached out via phone at 978-382-2592.
Provider Profile Details
- NPI Number
- 1740995406
- Provider Name
- Jamie Marie Park
- Credential
- CCC-SLP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 164 Wyman RD, Groton, MA 01450-1402
- Phone Number
- 978-382-2592
- Primary Taxonomy
- Speech-Language Pathologist, · 235Z00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 17, 2023
- Last Update Date
- January 17, 2023
- Certification Date
- January 17, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 164 Wyman RD
Groton, MA 01450-1402 - City
- Groton
- State
- Massachusetts
- Zip
- 01450-1402
- Phone Number
- 978-382-2592
Provider Business Mailing Address Details
- Address
- 164 Wyman RD
Groton, MA 01450-1402 - City
- Groton
- State
- MA
- Zip
- 01450-1402
- Phone Number
- 978-382-2592
License Information
- License Number
- 78179
- License State
- MA
- Taxonomy
- Speech-Language Pathologist, · 235Z00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Speech-Language Pathologist, providers near Groton, MA
View all Speech-Language Pathologist, providers in Groton →- Cynthia Testa, MS, CCC-SLPSpeech-Language Pathologist, · NPI 1912349135
- Lucia Franceschi, MS, CCC-SLPSpeech-Language Pathologist, · NPI 1750214979
- Mrs. Bethany J WhitefieldSpeech-Language Pathologist, · NPI 1902952849
- Mrs. Kristin N Ashburn, MAED, CCC - SLPSpeech-Language Pathologist, · NPI 1184935777
- Ms. Marie D Leisten, SLPSpeech-Language Pathologist, · NPI 1023130317
- Resonate Therapy Solutions LLCSpeech-Language Pathologist, · NPI 1437731841
Frequently Asked Questions
What is the NPI number of Jamie M Park, CCC-SLP?
The NPI number of Jamie M Park, CCC-SLP is 1740995406. It was assigned on January 17, 2023 and is currently active in the NPPES registry.
What is the specialty of Jamie M Park, CCC-SLP?
Jamie M Park, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in MA under license number 78179.
Where does Jamie M Park, CCC-SLP practice?
The practice location is 164 Wyman RD, Groton, MA 01450-1402. The office can be reached at 978-382-2592 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1740995406 directly on the NPPES registry website.