Doctor Name: | MRS. JILLIAN MARIE COMPTON |
NPI Number: | 1255521688 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SL008794 |
Business Practice Address: | 700 E Norwegian St Pottsville, PA - 179012710 |
Business Phone Number: | 5706214915 |
Business Fax Number: | |
Mailing Address: | 24 Evelyn Ln, CATAWISSA |
State: | PA |
Postal Code: | 178208086 |
Phone Number: | 5707990181 |
Fax Number: | |
NPI Enumeration Date: | 08/01/2007 |
NPI Last Update Date: | 08/01/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL008794 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |