Doctor Name: | JILL K RAIBLE |
NPI Number: | 1568670032 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. CCC-SLP |
License Number: | SL005127L |
Business Practice Address: | 231 Crowe Ave Mars, PA - 16046 |
Business Phone Number: | 7246254280 |
Business Fax Number: | |
Mailing Address: | 4212 Grandview Drive, GIBSONIA |
State: | PA |
Postal Code: | 15044 |
Phone Number: | 4129797005 |
Fax Number: | |
NPI Enumeration Date: | 05/18/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL005127L |
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 |