MEDICARE: JENNIFER BILL

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	22008420A	IN

General Provider Information

NPI Number	:	1336830520
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER BILL

Provider Business Mailing Address
First Line	:	1026 BOWER RD
Second Line	:
City	:	WEST HARRISON
State	:	IN
Zip	:	47060-7537
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1026 BOWER RD
Second Line	:
City	:	WEST HARRISON
State	:	IN
Zip	:	47060-7537
Country	:	US
Telephone Number	:	513-706-7292
Fax Number	:

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

Provider Enumeration Date	:	05/17/2023
Last Update Date	:	05/17/2023

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Directions to “ JENNIFER BILL ” Practice Location

Language	Start Address	Practice Location

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