Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jamie Larae Genovese, MED/MS/CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1295321206

Jamie Larae Genovese, MED/MS/CCC-SLP is a Speech-Language Pathologist in Tyler, Texas. Works from 2 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2020

Practice location Address checks out

921 Shiloh Rd Ste C120
Tyler, TX 75703-1407
Phone: (903) 939-2800
Fax: (903) 509-3744
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 921 Shiloh Rd Ste C110, Tyler, TX 75703-1406 — (903) 939-2800

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 18312 (TX)

Record details

NPI number1295321206
Entity typeIndividual (Type 1)
GenderFemale
Credentials MED/MS/CCC-SLP
Sole proprietorNo
NPI enumeratedDecember 14, 2020
Last updated in NPPESDecember 14, 2020
Certification dateDecember 14, 2020

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