Lucy Trice Tillou, M.ED., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

8770 Issued in MA

Practice address

65 Walnut St
Suite 302
Wellesley, MA 02481-2118

Phone

(781) 489-3697

NPI assigned

Jan 23, 2013

Last updated

Jan 23, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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 Education

State licenses

Practice roles

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

• Wellesley Pediatric Speech LLC

  • Speech-Language Pathologist
  • Wellesley, MA
  • NPI 1215242391
  NPD (past)

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

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358899200000",
    "number": "1972841120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 WALNUT ST",
            "address_2": "SUITE 302",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024812118",
            "telephone_number": "781-489-3697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 WALNUT ST",
            "address_2": "SUITE 302",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024812118",
            "telephone_number": "781-489-3697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLOU",
        "first_name": "LUCY",
        "middle_name": "TRICE",
        "name_prefix": "Mrs.",
        "credential": "M.ED., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-23",
        "last_updated": "2013-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "8770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas a. Kiewlicz (Flynn Associates)
• McKenna Thomas, OTR/L
• Joan Thompson, DDS
• Chelsea Tierney
• Hien Tue Tierney, MD
• Marcus W. Tjia, MD
• Jeffrey W Tocci, DDS
• Bruce Tofias, M.D.
• Anna Higgins Tommasini, DO
• Joan L Toomey, NP

• Speech-Language Pathologist in Wellesley, MA
• Providers in Wellesley, MA by specialty
• Speech-Language Pathologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; 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.