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

Individual provider Speech-Language Pathologist · NPI 1033093836

Jillian Rudolph, MSCCC-SLP is a Qualified Speech Language Pathologist in North Dartmouth, Massachusetts. Qualified in 2024, 2 years ago. Practices with Speech and Language Therapy Services, Inc, a 2-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
2
Licensed in
MA
In the registry since
2025
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Practice location Address checks out

49 State Road Watuppa Bldg Ste 104-105
North Dartmouth, MA 02747
Phone: (508) 985-1996
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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 SLP101224 (MA)

Record details

NPI number1033093836
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorNo
NPI enumeratedAugust 4, 2025
Last updated in NPPESAugust 11, 2025
Certification dateAugust 11, 2025

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Speech And Language Therapy Services, Inc. — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in North Dartmouth