Doctor Name: | MRS. JILLIAN ROSE LOBURAK |
NPI Number: | 1851639256 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SZ6128 |
Business Practice Address: | 10700 Nw 14th St Apt 155 Plantation, FL - 333226975 |
Business Phone Number: | 9542583611 |
Business Fax Number: | |
Mailing Address: | 10700 Nw 14th St, Apt. 155 PLANTATION |
State: | FL |
Postal Code: | 333226975 |
Phone Number: | 9542583611 |
Fax Number: | |
NPI Enumeration Date: | 01/21/2013 |
NPI Last Update Date: | 07/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SZ6128 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |