Active NPIIndividual provider

Jill N Petruchik, CCC-SLP

Speech-Language Pathologist, in North Easton, Massachusetts

NPI Number1346531696
Practice location
100 Main St, North Easton, MA 02356-1409
Fax
508-238-1372
Last updated
April 20, 2011

Jill N Petruchik is a Speech-Language Pathologist, based in North Easton, MA. Jill N Petruchik practices in North Easton, MA and has the professional credentials of CCC-SLP. The NPI Number for Jill N Petruchik is 1346531696 and holds a License No. 7998 (MA). The current practice location address for Jill N Petruchik is 100 Main St, North Easton, MA 02356-1409 and can be reached out via phone at 508-238-1360 and via fax at 508-238-1372.

Provider Profile Details

NPI Number
1346531696
Provider Name
Jill N Petruchik
Credential
CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
100 Main St, North Easton, MA 02356-1409
Phone Number
508-238-1360
Fax Number
508-238-1372
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
April 20, 2011
Last Update Date
April 20, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Main St
North Easton, MA 02356-1409
Zip
02356-1409
Phone Number
508-238-1360
Fax Number
508-238-1372
North Easton, MA 02356Get directions →

Provider Business Mailing Address Details

Address
100 Main St
North Easton, MA 02356-1409
City
North Easton
State
MA
Zip
02356-1409

License Information

License Number
7998
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 N Petruchik, CCC-SLP?

The NPI number of Jill N Petruchik, CCC-SLP is 1346531696. It was assigned on April 20, 2011 and is currently active in the NPPES registry.

What is the specialty of Jill N Petruchik, CCC-SLP?

Jill N Petruchik, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in MA under license number 7998.

Where does Jill N Petruchik, CCC-SLP practice?

The practice location is 100 Main St, North Easton, MA 02356-1409. The office can be reached at 508-238-1360 (phone) or 508-238-1372 (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 1346531696 directly on the NPPES registry website.

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