Basic Information
Provider Information
NPI: 1255575734
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CAZIER
FirstName: JAMI
MiddleName: L
NamePrefix: MISS
NameSuffix:  
Credential: SLP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 707 W MEADOW SIDE DR
Address2:  
City: SARATOGA SPRINGS
State: UT
PostalCode: 840455316
CountryCode: US
TelephoneNumber: 4358815312
FaxNumber:  
Practice Location
Address1: 1034 N 500 W
Address2:  
City: PROVO
State: UT
PostalCode: 846043380
CountryCode: US
TelephoneNumber: 8013577850
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/28/2009
LastUpdateDate: 08/10/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/10/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
235Z00000X  Y Speech, Language and Hearing Service ProvidersSpeech-Language Pathologist 

No ID Information.


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