Provider Demographics
NPI:1003440488
Name:TUTHILL, JEANNE GRIFFIN (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:JEANNE
Middle Name:GRIFFIN
Last Name:TUTHILL
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 DEEPWOODS DR
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:MA
Mailing Address - Zip Code:01002-3248
Mailing Address - Country:US
Mailing Address - Phone:413-256-8777
Mailing Address - Fax:
Practice Address - Street 1:228 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-3913
Practice Address - Country:US
Practice Address - Phone:413-588-5266
Practice Address - Fax:413-584-8592
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-25
Last Update Date:2020-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5079235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist