Provider Demographics
NPI:1285960203
Name:FLATNESS, JAMIE LEIGH (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:LEIGH
Last Name:FLATNESS
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3205 47TH ST
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50310-3559
Mailing Address - Country:US
Mailing Address - Phone:515-314-6712
Mailing Address - Fax:
Practice Address - Street 1:3600 30TH STREET
Practice Address - Street 2:(117)
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50310
Practice Address - Country:US
Practice Address - Phone:515-699-5999
Practice Address - Fax:515-699-5511
Is Sole Proprietor?:No
Enumeration Date:2009-10-27
Last Update Date:2013-11-21
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist