National Provider Identifier

Jillian Joan Green, M.A., CCC-SLP

Jillian Joan Green, M.A., CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in East Aurora, NY and a listed phone number of (716) 687-2300.

NPI 1558738096East Aurora, NYSpeech-Language Pathologist

Profile Overview

NPI
1558738096
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
September 01, 2015
Last Updated
January 16, 2026

Practice Location

  • 430 Main St
  • East Aurora, NY 14052-1750

Phone: (716) 687-2300

Mailing Address

  • 485 Fillmore Ave
  • East Aurora, NY 14052-1721

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1558738096
Entity Type
Individual
Last Name
Green
First Name
Jillian
Middle Name
Joan
Credential
M.A., CCC-SLP
Mailing Street Address
485 Fillmore Ave
Mailing City
East Aurora
Mailing State
NY
Mailing ZIP Code
14052-1721
Mailing Country
US
Mailing Phone
(716) 416-1676
Practice Street Address
430 Main St
Practice City
East Aurora
Practice State
NY
Practice ZIP Code
14052-1750
Practice Country
US
Practice Phone
(716) 687-2300
Enumeration Date
September 01, 2015
Last Updated
January 16, 2026
Sex
Female
Sole Proprietor
No
Certification Date
January 16, 2026
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)