Provider Demographics
NPI:1306991369
Name:BEER, JAMIE BROIDA (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:BROIDA
Last Name:BEER
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27316 MISTFLOWER DR
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33543-7775
Mailing Address - Country:US
Mailing Address - Phone:813-545-0977
Mailing Address - Fax:
Practice Address - Street 1:27316 MISTFLOWER DR
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33543-7775
Practice Address - Country:US
Practice Address - Phone:813-545-0977
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 6467235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist