Healthcare Provider Details

I. General information

NPI: 1821927310
Provider Name (Legal Business Name): JILLIAN PARIS BETTAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

176 FRANKLIN ST
LYNN MA
01904-3230
US

IV. Provider business mailing address

235 NORTHAMPTON ST APT 2
BOSTON MA
02118-1388
US

V. Phone/Fax

Practice location:
  • Phone: 781-593-2727
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: