Individual provider · Type 1 NPI

Jacqueline Kay Diercks

Speech-Language Pathologist · Vancouver, WA

NPI number 1295960144 Active

Practice location

6511 NE 18th St
Vancouver, WA 98661-6869

Fax (360) 759-4921

Mailing address

PO Box 2277
Vancouver, WA 98668-2277

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X460776H (WA)

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 1295960144

Jacqueline Kay Diercks's National Provider Identifier is 1295960144, issued on May 21, 2009. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Vancouver, WA. The record was last updated on May 21, 2009.