MEDICARE: JILLIAN RAYNO

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	1843	NH

General Provider Information

NPI Number	:	1235808403
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JILLIAN RAYNO

Provider Business Mailing Address
First Line	:	2 LOWELL RD
Second Line	:
City	:	WINDHAM
State	:	NH
Zip	:	03087-1814
Country	:	US
Telephone Number	:	603-845-1554
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 LOWELL RD
Second Line	:
City	:	WINDHAM
State	:	NH
Zip	:	03087-1814
Country	:	US
Telephone Number	:	603-845-1554
Fax Number	:

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

Provider Enumeration Date	:	09/10/2021
Last Update Date	:	01/16/2025

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Directions to “ JILLIAN RAYNO ” Practice Location

Language	Start Address	Practice Location

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