Individual provider · Type 1 NPI

Jacquelyn Marie Fortner, M.A. CCC-SLP

Speech-Language Pathologist · Medford, OR

NPI number 1104387703 Active

Practice location

3265 Biddle Rd
Medford, OR 97504-4122

Call (541) 816-4747 Map

Mailing address

63 Larkfield Maples Ct
Santa Rosa, CA 95403-1486

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist 235Z00000X27301 (CA)
Speech-Language Pathologist Primary 235Z00000X016472 (OR)

Speech-Language Pathologist: 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, resonan…

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About NPI 1104387703

Jacquelyn Marie Fortner, M.A. CCC-SLP's National Provider Identifier is 1104387703, issued on Mar 26, 2019. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Medford, OR. The record was last updated on Mar 26, 2019.