Most Relevant Information
Provider Data
| NPI Number: | 1003358896 |
| Provider Name: | JAMIE DIANA FROST SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 30702 |
Most Important Dates
| Enumeration Date: | 11/09/2016 |
| Last Updated: | 10/13/2022 |
Provider Practice Location
16500 VENTURA BLVD
ENCINO
CA
914362011
Practice Location Phone/Fax
| Phone: | 8187881003 |
| Fax: |
Provider Mailing Location
16500 VENTURA BLVD STE 360
ENCINO
CA
914362016
Provider Mailing Phone/Fax
| Phone: | 8187881003 |
| Fax: |