Jill Andrews, MA CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Falmouth, ME

NPI 1154429207 · NPPES record last updated Feb 9, 2010

Key facts

NPI
1154429207
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SP1029 (ME)
Practice address
50 Depot Road
Falmouth, ME 04105
Phone
(207) 781-8881
Fax
(207) 781-8855
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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 Arts

State licenses

LicenseStateTypeSpecialty
SP1029MEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Maine Chatterbox, LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP1029 ME Yes

Addresses

Primary practice location

50 Depot Road
Falmouth, ME 04105

Mailing address

50 Depot Road
Falmouth, ME 04105
Phone (207) 781-8881

Other identifiers

IdentifierTypeStateIssuer
334790000MedicaidME
7923711OtherMEAETNA
079017OtherMEANTHEM

Other providers in Falmouth, ME

All providers in Falmouth, ME · Speech-Language Pathologist in Maine

Sources for this page

Verify at the official NPI Registry.