Basic Information
Provider Information
NPI: 1003291931
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MAYER
FirstName: JAMIE
MiddleName: D.
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 600 HIGHLAND AVE
Address2:  
City: MADISON
State: WI
PostalCode: 537920001
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 7974 UW HEALTH CT
Address2:  
City: MIDDLETON
State: WI
PostalCode: 535625531
CountryCode: US
TelephoneNumber: 6088295485
FaxNumber: 6088330999
Other Information
ProviderEnumerationDate: 07/21/2015
LastUpdateDate: 07/21/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
235Z00000X3431-154WIY Speech, Language and Hearing Service ProvidersSpeech-Language Pathologist 

No ID Information.


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