Champion, Jamie Rae

Champion, Jamie Rae is an sole proprietor health care provider with primary practice located at 2365 E Gala St Suite #2, Meridian ID 83642-4881. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Champion, Jamie Rae can be contacted via phone (208) 288-1920.

Contact Information

Primary practice address
2365 E Gala St Suite #2 Meridian ID 83642-4881
Phone: (208) 288-1920
Fax: (208) 288-2844
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PSY-373 Idaho
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY 373 Idaho

Profile Details

NPI number 1952319394
LBN Legal business name Champion, Jamie Rae
Credentials P.H.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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