JILLIAN GRACE BRUSKAS
NPI 1497424667
Specialist/Technologist - Speech-Language Assistant in Dallas, TX
Active since September 10, 2021
About Jillian Grace Bruskas NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JILLIAN GRACE BRUSKAS (NPI 1497424667) is an individual speech-language assistant in Dallas, Texas, licensed in Texas (42111) and active in the NPI registry since September 2021.
NPPES Registry Identity
NPI1497424667
Entity TypeIndividualFemale
Primary Taxonomy2355S0801X
Provider Legal NameJILLIAN GRACE BRUSKAS
Location Address17652 BOTTLEBRUSH DRDallas, TX 75252-8057
Mailing Address17652 Bottlebrush DrDallas, TX 75252-8057 · (206) 931-5972
Phone(206) 931-5972
Sole ProprietorYes
Enumeration DateSeptember 10, 2021
NPPES CertifiedSeptember 10, 2021
✔ NPI 1497424667 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtySpecialist/Technologist · Speech-Language AssistantSpeech, Language and Hearing Service Providers
Taxonomy Code2355S0801X
License✔ Licensed in TX · 42111
17652 BOTTLEBRUSH DR, Dallas, TX 75252
Group Practice 1
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497424667, enumerated as an "individual" on September 10, 2021.
The provider is located at 17652 BOTTLEBRUSH DR DALLAS, TX 75252 and the phone number is (206) 931-5972.
Specialist/Technologist with taxonomy code 2355S0801X and a focus in Speech-Language Assistant.
