Doctor Name: | JACQUELINE O. BILLINGTON |
NPI Number: | 1023123601 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | SP860 |
Business Practice Address: | 32 Tandberg Trl 7 Windham, ME - 040626417 |
Business Phone Number: | 2078931599 |
Business Fax Number: | 2078783160 |
Mailing Address: | 32 Tandberg Trl, Suite 7 WINDHAM |
State: | ME |
Postal Code: | 040626417 |
Phone Number: | 2078931999 |
Fax Number: | 2075914636 |
NPI Enumeration Date: | 08/21/2006 |
NPI Last Update Date: | 03/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP860 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |