Jill A Wickham , SLP-CCC
Speech-Language Pathologist • St Augustine, FL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jill Wickham has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Jill Wickham, SLP-CCC was a registered Speech-Language Pathologist practicing in St Augustine, FL. Throughout an active medical career spanning 14 years, Jill Wickham provided care at the practice location at 1999 OLD MOULTRIE RD until profile deactivation on 2026-07-16.
Practice Location & Contact Primary Location
1999 Old Moultrie Rd
St Augustine, FL 320865164
Specialty Benchmarks & Practice Insights
Comparative analytics for Speech-Language Pathologist in St Augustine, FL
Practicing in St Augustine, FL (11640 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 235Z00000X
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Occupational Therapy Assistant
Certified Occupational Therapy Assistant, L
Physical Therapist
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on July 16, 2026
NPI status registered as active in NPPES database
Registered at 1999 OLD MOULTRIE RD, ST AUGUSTINE, FL 320865164 (Tel: 9048243311)
Registered at PO BOX 734, DEFUNIAK SPGS, FL 324350734 (Tel: 8502250538)
Recorded as JILL WICKHAM, SLP-CCC
Speech-Language Pathologist (License #SA8304 in FL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
Po Box 734
Defuniak Spgs, FL 324350734
Phone: 8502250538
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