Provider Demographics
NPI:1821200247
Name:GERMOND, JILL ALYSON (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:JILL
Middle Name:ALYSON
Last Name:GERMOND
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:JILL
Other - Middle Name:ALYSON
Other - Last Name:NITCHE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:247 SINCLAIR PL
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-3121
Mailing Address - Country:US
Mailing Address - Phone:908-377-5269
Mailing Address - Fax:
Practice Address - Street 1:247 SINCLAIR PL
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-3121
Practice Address - Country:US
Practice Address - Phone:908-377-5269
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-06
Last Update Date:2020-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00419800235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist