Most Relevant Information
Provider Data
| NPI Number: | 1003049388 |
| Provider Name: | JAIME LEIGH BASHAM DO, MS, CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/02/2009 |
| Last Updated: | 04/08/2022 |
Provider Practice Location
1600 MEDICAL CENTER DR
HUNTINGTON
WV
257013656
Practice Location Phone/Fax
| Phone: | 3046911300 |
| Fax: |
Provider Mailing Location
1600 MEDICAL CENTER DR
HUNTINGTON
WV
257013656
Provider Mailing Phone/Fax
| Phone: | 3046911300 |
| Fax: |