Jill Widem
Speech-Language Pathologist · Johns Creek, GA
Practice location
775 Ellsborough CtJohns Creek, GA 30005-2575
- Phone
- (404) 518-0944
NPI record
- NPI
- 1083167993
- Entity type
- Individual (Type 1)
- Enumeration date
- July 27, 2016
- Last updated
- July 27, 2016
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X |
SLP007721 | GA |
About Jill Widem
Jill Widem is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 775 Ellsborough Ct, Johns Creek, GA 30005-2575. The NPI number 1083167993 was assigned on July 27, 2016 and the record was last updated on July 27, 2016.
Jill Widem lists a license in the registry: #SLP007721 (GA) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Jill Widem?
The NPI number is 1083167993.
What is the phone number of Jill Widem?
The phone number listed for the practice location is (404) 518-0944.
Where is Jill Widem located?
775 Ellsborough Ct, Johns Creek, GA 30005-2575.
What is the taxonomy code for Jill Widem?
The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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