Doctor Name: | JILL ANN RAYMOND |
NPI Number: | 1285830976 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC SLP |
License Number: | 3630 |
Business Practice Address: | 420 North University St Murfreesboro, TN - 37130 |
Business Phone Number: | 6158932602 |
Business Fax Number: | 6158901224 |
Mailing Address: | 3001 Hamilton Church Rd, #546 ANTIOCH |
State: | TN |
Postal Code: | 37013 |
Phone Number: | 9785007018 |
Fax Number: | |
NPI Enumeration Date: | 06/21/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3630 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
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 |