Doctor Name: | MS. JILL THRESHER |
NPI Number: | 1144345141 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | 1012 |
Business Practice Address: | Brookshire Nursing Center 300 Meadowland Dr Hillsborough, NC - 272780000 |
Business Phone Number: | 9197322258 |
Business Fax Number: | |
Mailing Address: | 5524 Wescott Pl, DURHAM |
State: | NC |
Postal Code: | 277121037 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/20/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1012 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
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 |