Active NPIIndividual provider

Jill Johnson, CCC

Speech-Language Pathologist, in Westborough, Massachusetts

NPI Number1013243864
Practice location
76 Otis St, Westborough, MA 01581-3315
Fax
508-319-3200
Last updated
October 29, 2009

Jill Johnson is a Speech-Language Pathologist, based in Westborough, MA. Jill Johnson practices in Westborough, MA and has the professional credentials of CCC. The NPI Number for Jill Johnson is 1013243864 and holds a License No. 5193 (MA). The current practice location address for Jill Johnson is 76 Otis St, Westborough, MA 01581-3315 and can be reached out via phone at 508-898-2688 and via fax at 508-319-3200.

Provider Profile Details

NPI Number
1013243864
Provider Name
Jill Johnson
Credential
CCC
Provider Entity Type
Individual
Gender
Female
Address
76 Otis St, Westborough, MA 01581-3315
Phone Number
508-898-2688
Fax Number
508-319-3200
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
October 29, 2009
Last Update Date
October 29, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
76 Otis St
Westborough, MA 01581-3315
Zip
01581-3315
Phone Number
508-898-2688
Fax Number
508-319-3200
Westborough, MA 01581Get directions →

Provider Business Mailing Address Details

Address
104 Harrington Ave
Shrewsbury, MA 01545-5248
City
Shrewsbury
State
MA
Zip
01545-5248
Phone Number
508-898-2688
Fax Number
508-319-3200

License Information

License Number
5193
License State
MA
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jill Johnson, CCC?

The NPI number of Jill Johnson, CCC is 1013243864. It was assigned on October 29, 2009 and is currently active in the NPPES registry.

What is the specialty of Jill Johnson, CCC?

Jill Johnson, CCC is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in MA under license number 5193.

Where does Jill Johnson, CCC practice?

The practice location is 76 Otis St, Westborough, MA 01581-3315. The office can be reached at 508-898-2688 (phone) or 508-319-3200 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013243864 directly on the NPPES registry website.

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