Provider Demographics
NPI:1902276504
Name:SAXE, JAIMEE (MS,)
Entity Type:Individual
Prefix:MRS
First Name:JAIMEE
Middle Name:
Last Name:SAXE
Suffix:
Gender:F
Credentials:MS,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7427 WESTWOOD PARK LN
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22046-1938
Mailing Address - Country:US
Mailing Address - Phone:917-903-4377
Mailing Address - Fax:
Practice Address - Street 1:7427 WESTWOOD PARK LN
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22046-1938
Practice Address - Country:US
Practice Address - Phone:917-903-4377
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-25
Last Update Date:2015-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202005622235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist