Individual provider · Type 1 NPI

Candace Jackson, CCC-SLP

Speech-Language Pathologist · Nephi, UT

NPI number 1174404479 Active

Practice location

350 East 200 North
Nephi, UT 84648

Mailing address

PO Box 386
Levan, UT 84639

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X14011678-4102 (UT)

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 1174404479

Candace Jackson, CCC-SLP's National Provider Identifier is 1174404479, issued on Sep 11, 2025. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Nephi, UT. The record was last updated on Sep 11, 2025.