Organization Name: | JILL SHOOK THERAPY, LLC |
NPI Number: | 1457744401 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JILL SHOOK (OWNER) |
Mailing Address: | 373 Livingston Rd West Mifflin |
State: | PA US |
Postal Code: | 151222522 |
Phone Number: | 4124369757 |
Fax Number: | |
NPI Enumeration Date: | 03/16/2015 |
NPI Last Update Date: | 03/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL011918 |
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 |