MEDICARE: JILLIAN GALIPEAU

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1184593881
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JILLIAN GALIPEAU

Provider Business Mailing Address
First Line	:	707 WHITLOCK AVE SW STE D32
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30064-3083
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	707 WHITLOCK AVE SW STE D32
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30064-3083
Country	:	US
Telephone Number	:	770-927-7424
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2025
Last Update Date	:	10/31/2025

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Directions to “ JILLIAN GALIPEAU ” Practice Location

Language	Start Address	Practice Location

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