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NPI Code Detail

MEDICARE: MRS. JENNIFER STILLING MS CCC-SLP

MEDICARE:  MRS. JENNIFER  STILLING  MS CCC-SLP
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
1235Z00000XSpeech-Language PathologistSA 6811FL

General Provider Information

NPI Number : 1457590903
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JENNIFER STILLING MS CCC-SLP
Provider Business Mailing Address
First Line : 2254 LANGLEY CIR
Second Line :
City : ORLANDO
State : FL
Zip : 32835-5944
Country : US
Telephone Number : 407-296-0714
Fax Number :
Provider Business Practice Location Address
First Line : 2254 LANGLEY CIR
Second Line :
City : ORLANDO
State : FL
Zip : 32835-5944
Country : US
Telephone Number : 407-296-0714
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2009
Last Update Date : 02/06/2009

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Directions to “ MRS. JENNIFER STILLING MS CCC-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.