Jill Nolan, MS CCC SLP-L
Individual provider Active NPI Speech-Language Pathologist · Fairview, PA
NPI 1124147889 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1124147889
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SL007520 (PA)
- Practice address
- 6739 Otten CT
Fairview, PA 16415-3019 - Phone
- (814) 474-4781
- Fax
- (814) 474-4782
- NPI assigned
- Mar 27, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL007520 | PA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SL007520 | PA | Yes |
Addresses
Primary practice location
6739 Otten CT
Fairview, PA 16415-3019
Mailing address
6739 Otten CT
Fairview, PA 16415-3019
Phone (814) 474-4781
Other providers in Fairview, PA
- Robert Milnes II
- Jenna Lea Moran
- Natalia Munoz
- Sharon Ann Murri
- Kathleen Brigid Nies
- Janet Sue Noland
- Carla Oconnor
- Richard Anthony Ortoski
- Nicole Marie Parker
- Christina Peterson
All providers in Fairview, PA · Speech-Language Pathologist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.