Provider Demographics
NPI:1174777338
Name:RAPPAPORT, JILL LAUREN (MA, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:JILL
Middle Name:LAUREN
Last Name:RAPPAPORT
Suffix:
Gender:F
Credentials:MA, CCC-SLP
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Mailing Address - Street 1:29 2ND PL
Mailing Address - Street 2:APT 2
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11231-4936
Mailing Address - Country:US
Mailing Address - Phone:516-551-4210
Mailing Address - Fax:
Practice Address - Street 1:29 2ND PL
Practice Address - Street 2:APT 2
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11231-4936
Practice Address - Country:US
Practice Address - Phone:516-551-4210
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-13
Last Update Date:2008-11-13
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist