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

Individual provider Speech-Language Pathologist · NPI 1124353891

Jill Douglass, MS, CCC-SLP is a Qualified Speech Language Pathologist in Lafayette, Louisiana. Qualified in 2011, 15 years ago. Licensed in Louisiana.

Years since qualifying
15
Licensed in
LA
In the registry since
2009
What do these letters mean?
MS — Master of Science
A graduate science degree.
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

315 S College Rd Ste 195
Lafayette, LA 70503-3212
Phone: (337) 504-4244
Fax: (337) 706-7612
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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 5787 (LA)

Record details

NPI number1124353891
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedOctober 13, 2009
Last updated in NPPESOctober 13, 2009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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