Jill Allison Monico, MA,CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL005660L Issued in PA

Practice address

5500 Brooktree Rd
Suite 102
Wexford, PA 15090-9260

Phone

(724) 940-3468

Fax

(724) 940-3969

NPI assigned

Jul 26, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185408000000",
    "number": "1649460676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 ERIE ST",
            "address_2": "P.O. BOX 913",
            "city": "SAEGERTOWN",
            "state": "PA",
            "postal_code": "164335018",
            "telephone_number": "814-763-3218",
            "fax_number": "814-763-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 BROOKTREE RD",
            "address_2": "SUITE 102",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909260",
            "telephone_number": "724-940-3468",
            "fax_number": "724-940-3969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONICO",
        "first_name": "JILL",
        "middle_name": "ALLISON",
        "credential": "MA,CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL005660L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Wexford, PA
• Providers in Wexford, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.