Provider Demographics
NPI:1790822468
Name:HOWE, JILL MONRO (SPEECH PATHOLOGIST)
Entity Type:Individual
Prefix:MRS
First Name:JILL
Middle Name:MONRO
Last Name:HOWE
Suffix:
Gender:F
Credentials:SPEECH PATHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5418 CHESTNUT LAKE DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32258-2525
Mailing Address - Country:US
Mailing Address - Phone:904-292-4959
Mailing Address - Fax:
Practice Address - Street 1:5418 CHESTNUT LAKE DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32258-2525
Practice Address - Country:US
Practice Address - Phone:904-292-4959
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 2923235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist