MEDICARE: JILL DOUGLASS M.S., 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
1	235Z00000X	Speech-Language Pathologist	5787	LA

General Provider Information

NPI Number	:	1124353891
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JILL DOUGLASS M.S., CCC-SLP

Provider Business Mailing Address
First Line	:	315 S COLLEGE RD
Second Line	:	SUITE 195
City	:	LAFAYETTE
State	:	LA
Zip	:	70503-3212
Country	:	US
Telephone Number	:	337-504-4244
Fax Number	:	337-706-7612

Provider Business Practice Location Address
First Line	:	315 S COLLEGE RD
Second Line	:	SUITE 195
City	:	LAFAYETTE
State	:	LA
Zip	:	70503-3212
Country	:	US
Telephone Number	:	337-504-4244
Fax Number	:	337-706-7612

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

Provider Enumeration Date	:	10/13/2009
Last Update Date	:	10/13/2009

Similar Medicare Providers

1598557076 — MR. JHYLON SANDERS I
Practice Location Address:

315 S COLLEGE RD
LAFAYETTE, LA
70503-3212

Practice Phone: 337-417-9897
Practice Fax:

1649004326 — TODDRA DENAY COLE MSW
Practice Location Address:

315 S COLLEGE RD
LAFAYETTE, LA
70503-3212

Practice Phone: 337-417-9897
Practice Fax:

1174562995 — CONNIE H. LEBLANC M.S. LPC LMFT
Practice Location Address:

315 S COLLEGE RD , SUITE 277
LAFAYETTE, LA
70503-3212

Practice Phone: 337-237-4229
Practice Fax: 337-289-1416

1487826210 — MRS. COLLEEN MAIRE THOMAS LPC
Practice Location Address:

315 S COLLEGE RD , SUITE 251
LAFAYETTE, LA
70503-3212

Practice Phone: 337-654-9037
Practice Fax: 337-993-1661

1750514303 — DR. SHANNON R ZAUNBRECHER AU.D.
Practice Location Address:

315 S COLLEGE RD
LAFAYETTE, LA
70503-3212

Practice Phone: 337-235-6601
Practice Fax:

1932434990 — LIFE CHANGING SOLUTIONS, LLC
Practice Location Address:

315 S COLLEGE RD , SUITE 242
LAFAYETTE, LA
70503-3212

Practice Phone: 337-205-6073
Practice Fax: 337-264-9282

Directions to “ JILL DOUGLASS M.S., 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.

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.