Provider Demographics
NPI:1528005964
Name:KASSINGER, JILL COLLIGNON (AUD)
Entity Type:Individual
Prefix:DR
First Name:JILL
Middle Name:COLLIGNON
Last Name:KASSINGER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4091 MALLORY LN
Mailing Address - Street 2:SUITE 122
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-4849
Mailing Address - Country:US
Mailing Address - Phone:615-807-1274
Mailing Address - Fax:615-807-1278
Practice Address - Street 1:4091 MALLORY LN
Practice Address - Street 2:SUITE 122
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-4849
Practice Address - Country:US
Practice Address - Phone:615-807-1274
Practice Address - Fax:615-807-1278
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2016-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1776231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist