Provider Demographics
NPI:1366618787
Name:MURRAY-BRANCH, JAMIE ELIZABETH (CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:ELIZABETH
Last Name:MURRAY-BRANCH
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:PROF
Other - First Name:JAMIE
Other - Middle Name:ELIZABETH
Other - Last Name:MURRAY-BRANCH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:1975 WILLOW DR
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53706-1103
Mailing Address - Country:US
Mailing Address - Phone:608-262-6479
Mailing Address - Fax:608-262-6466
Practice Address - Street 1:1975 WILLOW DR
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53706-1103
Practice Address - Country:US
Practice Address - Phone:608-262-6479
Practice Address - Fax:608-262-6466
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-06
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI608-154235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist