| Doctor Name: | MRS. JEAN NICOLE TERRY |
| NPI Number: | 1134456973 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, SLP-CCC |
| License Number: | SP00788 |
| Business Practice Address: | 80 Roy Ave Attleboro, MA - 027036023 |
| Business Phone Number: | 5083997560 |
| Business Fax Number: | |
| Mailing Address: | 111 Arcadia Ave, CRANSTON |
| State: | RI |
| Postal Code: | 029102301 |
| Phone Number: | 4013917345 |
| Fax Number: | |
| NPI Enumeration Date: | 11/16/2009 |
| NPI Last Update Date: | 06/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SP00788 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | RI |
| 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 |