Doctor Name: | JILL WALKER |
NPI Number: | 1114181492 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | SLP005587 |
Business Practice Address: | 2709 Us Hwy 17 Bldg 2a Richmond Hill, GA - 31324 |
Business Phone Number: | 9127565699 |
Business Fax Number: | 9127565388 |
Mailing Address: | Po Box 2829, RICHMOND HILL |
State: | GA |
Postal Code: | 313242829 |
Phone Number: | 9127565699 |
Fax Number: | 9127565388 |
NPI Enumeration Date: | 07/15/2008 |
NPI Last Update Date: | 07/15/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP005587 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
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 |