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

Individual provider Speech-Language Pathologist · NPI 1396029237

Jillian N. Hazelbaker, CCC-SLP is a Speech-Language Pathologist in Maryville, Tennessee. Licensed in Indiana, Kentucky, Ohio and Tennessee. Registered with an NPI since 2011.

Licensed in
IN, KY, OH, TN
In the registry since
2011
Specialties on file
4
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

2030 Chilhowee Medical Park
Maryville, TN 37804-5285
Phone: (865) 982-3400
Fax: (865) 238-2034
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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 5923 (TN)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence SP-10021 (OH)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 4174 (KY)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 22005131A (IN)

Record details

NPI number1396029237
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedOctober 10, 2011
Last updated in NPPESSeptember 13, 2016

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