| Doctor Name: | JILL R FREESE |
| NPI Number: | 1386621274 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLP |
| License Number: | 64-154 |
| Business Practice Address: | 3090 N 53rd St Milwaukee, WI - 532101617 |
| Business Phone Number: | 4144494444 |
| Business Fax Number: | 4144494448 |
| Mailing Address: | 6400 Industrial Loop, GREENDALE |
| State: | WI |
| Postal Code: | 531292452 |
| Phone Number: | 4144234100 |
| Fax Number: | 4144234134 |
| NPI Enumeration Date: | 12/30/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 64-154 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| 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 |