DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JLD SPEECH THERAPY, LLC

MEDICARE: JLD SPEECH THERAPY, LLC
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 Pathologist005166GA

General Provider Information

NPI Number : 1063743953
Entity Type Code : Organization
Provider Name (Legal Business Name) : JLD SPEECH THERAPY, LLC
Provider Business Mailing Address
First Line : PO BOX 3306
Second Line :
City : DOUGLAS
State : GA
Zip : 31534-3306
Country : US
Telephone Number : 912-539-1612
Fax Number : 912-764-6494
Provider Business Practice Location Address
First Line : 618 BOWENS MILL RD SW
Second Line :
City : DOUGLAS
State : GA
Zip : 31533-3926
Country : US
Telephone Number : 912-539-1612
Fax Number : 912-764-6494
Authorized Official
Title or Position : OWNER/ SPEECH LANGUAGE PATHOLOGIST
Name : MS. JAYLA S BULLOCK
Credential : M.ED., CCC/SLP
Telephone Number : 912-539-1612
Provider Enumeration Date : 01/17/2010
Last Update Date : 01/17/2010

Similar Medicare Providers

1194681361 — KAMERYN SPIVEY
Practice Location Address:
618 BOWENS MILL RD SW
DOUGLAS, GA
31533-3926
Practice Phone: 912-493-2661
Practice Fax:
1306026497 — THE SPEECH & SWALLOWING CLINIC, LLC
Practice Location Address:
618 BOWENS MILL RD SW
DOUGLAS, GA
31533-3926
Practice Phone: 912-331-0846
Practice Fax: 678-792-4894
1043469059 — TERESA LYNN MCELROY M ED CCC/SLP
Practice Location Address:
618 BOWENS MILL RD SW
DOUGLAS, GA
31533-3926
Practice Phone: 912-331-0846
Practice Fax: 912-331-0847
1659759165 — MRS. MARY KATHERINE KEMP BROWN CCC-SLP
Practice Location Address:
618 BOWENS MILL RD SW
DOUGLAS, GA
31533-3926
Practice Phone: 912-539-4232
Practice Fax:
1558738062 — LISA WILLIAMS M ED CCC/SLP
Practice Location Address:
618 BOWENS MILL RD SW
DOUGLAS, GA
31533-3926
Practice Phone: 912-331-0846
Practice Fax: 678-792-4894
1740753292 — JULIE HOLDEN SLP
Practice Location Address:
618 BOWENS MILL RD SW
DOUGLAS, GA
31533-3926
Practice Phone: 229-854-0658
Practice Fax:

Directions to “JLD SPEECH THERAPY, LLC ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.