Provider Demographics
NPI:1780819185
Name:STIEG, JILLIAN SCHARDEIN (SLP, MS-CCC)
Entity Type:Individual
Prefix:MRS
First Name:JILLIAN
Middle Name:SCHARDEIN
Last Name:STIEG
Suffix:
Gender:F
Credentials:SLP, MS-CCC
Other - Prefix:MISS
Other - First Name:JILLIAN
Other - Middle Name:RENEE
Other - Last Name:SCHARDEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:210 GRASSLAND ST
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59106-2379
Mailing Address - Country:US
Mailing Address - Phone:406-697-0053
Mailing Address - Fax:
Practice Address - Street 1:415 N 30TH ST
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-1252
Practice Address - Country:US
Practice Address - Phone:406-697-0053
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-28
Last Update Date:2009-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1155235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist