Doctor Name: | JILLIAN PRISLOVSKY |
NPI Number: | 1245642677 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.CF-SLP |
License Number: | P8764 |
Business Practice Address: | 200 Nw 4th St Bryant, AR - 720223424 |
Business Phone Number: | 5018475600 |
Business Fax Number: | |
Mailing Address: | 701 Wellington Hills Rd Apt 214, LITTLE ROCK |
State: | AR |
Postal Code: | 722112174 |
Phone Number: | 8708302176 |
Fax Number: | |
NPI Enumeration Date: | 05/20/2014 |
NPI Last Update Date: | 05/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | P8764 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
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 |