Provider Demographics
NPI:1548389299
Name:KOSLAN, JILLIAN SVEND (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:JILLIAN
Middle Name:SVEND
Last Name:KOSLAN
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4802 DON JUAN ST
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79605-1423
Mailing Address - Country:US
Mailing Address - Phone:325-690-6399
Mailing Address - Fax:
Practice Address - Street 1:SOUTHWEST THERAPY ASSOCIATES
Practice Address - Street 2:3233 SOUTH WILLIS STREET
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79605
Practice Address - Country:US
Practice Address - Phone:325-437-1184
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX100796235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist