Provider Demographics
NPI:1811906191
Name:BARRETT, JILLIAN G (PHD)
Entity type:Individual
Prefix:DR
First Name:JILLIAN
Middle Name:G
Last Name:BARRETT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4165 BLACKHAWK PLAZA CIR
Mailing Address - Street 2:SUITE #100
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94506-4904
Mailing Address - Country:US
Mailing Address - Phone:925-918-0113
Mailing Address - Fax:925-831-9952
Practice Address - Street 1:4165 BLACKHAWK PLAZA CIR
Practice Address - Street 2:SUITE 100
Practice Address - City:DANVILLE
Practice Address - State:CA
Practice Address - Zip Code:94506-4904
Practice Address - Country:US
Practice Address - Phone:925-918-0113
Practice Address - Fax:925-831-9952
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2013-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU 1970237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter