Individual
JILLIAN RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
49 STATE ROAD, WATUPPA BUILDING, SUITE 104-105, NORTH DARTMOUTH, MA 02747
(508) 985-1996
Mailing address
21 SIMMONS ST, NEWPORT, RI 02840-3923
(631) 991-1405
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP101224
MA
Other
Enumeration date
08/04/2025
Last updated
08/11/2025
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