Doctor Name: | JILL ALLISON MONICO |
NPI Number: | 1649460676 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA,CCC/SLP |
License Number: | SL005660L |
Business Practice Address: | 5500 Brooktree Rd Suite 102 Wexford, PA - 150909260 |
Business Phone Number: | 7249403468 |
Business Fax Number: | 7249403969 |
Mailing Address: | 1430 Erie St, P.o. Box 913 SAEGERTOWN |
State: | PA |
Postal Code: | 164335018 |
Phone Number: | 8147633218 |
Fax Number: | 8147635698 |
NPI Enumeration Date: | 07/26/2007 |
NPI Last Update Date: | 07/26/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL005660L |
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 |