Provider Demographics
NPI:1528681012
Name:CHRISTION, JASMINE RENAE (CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:JASMINE
Middle Name:RENAE
Last Name:CHRISTION
Suffix:
Gender:F
Credentials: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:PO BOX 100022
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35210-0022
Mailing Address - Country:US
Mailing Address - Phone:205-677-5036
Mailing Address - Fax:205-352-3760
Practice Address - Street 1:200 BEACON PKWY W STE 108D
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-3102
Practice Address - Country:US
Practice Address - Phone:205-677-5036
Practice Address - Fax:205-352-3760
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-19
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL14079365235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty