Provider Demographics
NPI:1043379936
Name:PELUNIS, JILL DEE (MS CCC SLP)
Entity Type:Individual
Prefix:MRS
First Name:JILL
Middle Name:DEE
Last Name:PELUNIS
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:MRS
Other - First Name:JILL
Other - Middle Name:DEE
Other - Last Name:HABALOW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP CCC
Mailing Address - Street 1:18 SIMON ST
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03061
Mailing Address - Country:US
Mailing Address - Phone:603-883-8205
Mailing Address - Fax:603-881-7198
Practice Address - Street 1:8 COMMERCE DRIVE
Practice Address - Street 2:
Practice Address - City:ATKINSON
Practice Address - State:NH
Practice Address - Zip Code:03811
Practice Address - Country:US
Practice Address - Phone:603-893-1299
Practice Address - Fax:603-893-5401
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0032235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH272746OtherCIGNA
NH561822OtherAETNA
NH626514OtherHARVARD PILGRIM
NH761242OtherTUFTS