Doctor Name: | MS. JILL HEALEY |
NPI Number: | 1790870939 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC SLP |
License Number: | 04843 |
Business Practice Address: | 5100 Acacia Ave Bethesda, MD - 20814 |
Business Phone Number: | 3018970815 |
Business Fax Number: | 3018970819 |
Mailing Address: | 18131 Marksman Cir, Apt 403 OLNEY |
State: | MD |
Postal Code: | 20832 |
Phone Number: | 3017740988 |
Fax Number: | |
NPI Enumeration Date: | 10/04/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 04843 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
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 |