Provider Demographics
NPI:1679723357
Name:DOIDGE SCHEPP, JAMIE MARIE (MS SLP)
Entity type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:MARIE
Last Name:DOIDGE SCHEPP
Suffix:
Gender:F
Credentials:MS SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 ROSEMARYS WAY
Mailing Address - Street 2:
Mailing Address - City:LEEDS
Mailing Address - State:NY
Mailing Address - Zip Code:12451-1654
Mailing Address - Country:US
Mailing Address - Phone:518-821-9144
Mailing Address - Fax:
Practice Address - Street 1:OLD RT. 23 B
Practice Address - Street 2:
Practice Address - City:SOUTH CAIRO
Practice Address - State:NY
Practice Address - Zip Code:12482
Practice Address - Country:US
Practice Address - Phone:518-622-8382
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-30
Last Update Date:2008-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015713235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist