NPI 1003311853

Jillian Blaine

Practitioner Speech-Language Pathologist Virginia Beach, VA

Practice location

Address: 1413 Laskin Rd, Virginia Beach, VA 23451-6007
Phone: (757) 263-2800
Mailing address: 2117 Walpole St, Virginia Beach, VA 23456-1276

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 2202008601 (VA)

Other Speech-Language Pathologist providers in Virginia →

Registry record

NPI: 1003311853
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Mar 2018
Record last updated: 26 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.