Doctor Name: | MRS. JILL PATRICIA OWENS |
NPI Number: | 1538284906 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC-SLP |
License Number: | 22002455A |
Business Practice Address: | 8525 Providence Dr Fishers, IN - 460385236 |
Business Phone Number: | 3177732893 |
Business Fax Number: | 3177732893 |
Mailing Address: | Po Box 512, FISHERS |
State: | IN |
Postal Code: | 460380512 |
Phone Number: | 3177732893 |
Fax Number: | 3177732893 |
NPI Enumeration Date: | 03/21/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 22002455A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
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 |