Individual provider · Type 1 NPI
Matthew Thomas Jacquot
Speech-Language Assistant · Lake Forest, CA
NPI number
1306609797
Active
Practice location
22722 Lambert St Ste 611
Lake Forest, CA 92630-1633
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Assistant Primary | 2355S0801X | 8098 (CA) |
Speech-Language Assistant: Definition to come...
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About NPI 1306609797
Matthew Thomas Jacquot's National Provider Identifier is 1306609797, issued on Jan 30, 2024. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in Lake Forest, CA. The record was last updated on Jan 30, 2024.