Provider Demographics
NPI:1902057961
Name:GSCHWENDTNER, JAMIE L (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:L
Last Name:GSCHWENDTNER
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:190 E 9TH AVE
Mailing Address - Street 2:150
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-2736
Mailing Address - Country:US
Mailing Address - Phone:303-777-5471
Mailing Address - Fax:
Practice Address - Street 1:4143 KNOX CT
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-1653
Practice Address - Country:US
Practice Address - Phone:720-317-7802
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-08
Last Update Date:2008-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO12120100235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist