Provider Demographics
NPI:1598017527
Name:CIMO, JAMIE LYNN (MA/SLP)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:LYNN
Last Name:CIMO
Suffix:
Gender:F
Credentials:MA/SLP
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:LYNN
Other - Last Name:HIPP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA/SLP
Mailing Address - Street 1:512 8TH ST.
Mailing Address - Street 2:
Mailing Address - City:STEAMBOAT SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80457
Mailing Address - Country:US
Mailing Address - Phone:970-870-4263
Mailing Address - Fax:855-217-6179
Practice Address - Street 1:512 8TH ST.
Practice Address - Street 2:
Practice Address - City:STEAMBOAT SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80457
Practice Address - Country:US
Practice Address - Phone:970-870-4263
Practice Address - Fax:855-217-6179
Is Sole Proprietor?:No
Enumeration Date:2012-10-15
Last Update Date:2012-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0469344235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist