Most Relevant Information
Provider Data
| NPI Number: | 1003645078 |
| Provider Name: | JAMIE STANIEWICZ CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 17436 |
Most Important Dates
| Enumeration Date: | 07/29/2024 |
| Last Updated: | 07/29/2024 |
Provider Practice Location
2587 JUSTINE LN
EUGENE
OR
974042582
Practice Location Phone/Fax
| Phone: | 5613710526 |
| Fax: |
Provider Mailing Location
2587 JUSTINE LN
EUGENE
OR
974042582
Provider Mailing Phone/Fax
| Phone: | 5613710526 |
| Fax: |