| Doctor Name: | MRS. JENA MICHELLE STILL |
| NPI Number: | 1770806242 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., CCC-SLP |
| License Number: | 1267 |
| Business Practice Address: | 450 Lowell St Challenge Unlimited, Inc. At Ironstone Farm Andover, MA - 01810 |
| Business Phone Number: | 9784754056 |
| Business Fax Number: | |
| Mailing Address: | 500 Broadway, Apt. 4101 MALDEN |
| State: | MA |
| Postal Code: | 021482077 |
| Phone Number: | 4095946736 |
| Fax Number: | |
| NPI Enumeration Date: | 03/11/2010 |
| NPI Last Update Date: | 03/11/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 1267 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NH |
| 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 |