Provider Demographics
NPI:1962703835
Name:AKERLEY, JAIME ANNE (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:JAIME
Middle Name:ANNE
Last Name:AKERLEY
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 1:7558 SALMON CREEK RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSON
Mailing Address - State:NY
Mailing Address - Zip Code:14589-9510
Mailing Address - Country:US
Mailing Address - Phone:315-589-9025
Mailing Address - Fax:
Practice Address - Street 1:5751 NEW HARTFORD ST
Practice Address - Street 2:
Practice Address - City:WOLCOTT
Practice Address - State:NY
Practice Address - Zip Code:14590-9436
Practice Address - Country:US
Practice Address - Phone:315-594-3132
Practice Address - Fax:315-594-3137
Is Sole Proprietor?:No
Enumeration Date:2010-11-09
Last Update Date:2010-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014653-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist