Provider Demographics
NPI:1881843977
Name:PRZYBYLA, JILLIAN H (M ED, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:JILLIAN
Middle Name:H
Last Name:PRZYBYLA
Suffix:
Gender:F
Credentials:M ED, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:407 CROFT ST
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29609-5404
Mailing Address - Country:US
Mailing Address - Phone:864-735-2844
Mailing Address - Fax:
Practice Address - Street 1:407 CROFT ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29609-5404
Practice Address - Country:US
Practice Address - Phone:864-233-3437
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-12
Last Update Date:2009-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4135235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist