Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jill Bush, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1194083584

Jill Bush, CCC-SLP is a Speech-Language Pathologist in Crestview, Florida. Practices as a sole proprietor. Licensed in Florida and Maryland.

Licensed in
FL, MD
In the registry since
2012
Specialties on file
2
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

301 S Ferdon Blvd
Crestview, FL 32536-3701
Phone: (850) 306-1277
Fax: (850) 306-1263
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SA12763 (FL)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 04630 (MD)

Record details

NPI number1194083584
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedApril 24, 2012
Last updated in NPPESAugust 14, 2014

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