Doctor Name: | JILL ELIZABETH SLAY |
NPI Number: | 1053697227 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | OH-9162 |
Business Practice Address: | 645 Columbus Ave Lebanon, OH - 450361605 |
Business Phone Number: | 5139341226 |
Business Fax Number: | |
Mailing Address: | Po Box 184, SEVEN MILE |
State: | OH |
Postal Code: | 450620184 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/01/2011 |
NPI Last Update Date: | 11/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | OH-9162 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |