Individual
JILLIAN MCCANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
49 LEDGE VIEW DR, CUMBERLAND, RI 02864-1514
(401) 529-5593
Mailing address
49 LEDGE VIEW DR, CUMBERLAND, RI 02864-1514
(401) 529-5593
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
3490812
RI
106S00000X
Behavior Technician
—
—
235Z00000X
Speech-Language Pathologist
Primary
78499-SP-SL
MA
Other
Enumeration date
04/19/2019
Last updated
05/18/2023
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