Jamie Beth Boster, MA CF-SLP

Individual provider Active NPI Speech-Language Pathologist · Jackson, OH

NPI 1972092633 · NPPES record last updated May 8, 2018

Key facts

NPI
1972092633
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
COND.2017127 (OH)
Practice address
500 Burlington Rd
Jackson, OH 45640-9360
Phone
(740) 395-8367
NPI assigned
May 8, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
COND.2017127OHMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X COND.2017127 OH Yes

Addresses

Primary practice location

500 Burlington Rd
Jackson, OH 45640-9360

Mailing address

109 N Plains Rd Apt 10
The Plains, OH 45780-2001
Phone (304) 380-4704

Other providers in Jackson, OH

All providers in Jackson, OH · Speech-Language Pathologist in Ohio

Sources for this page

Verify at the official NPI Registry.