Individual provider · Type 1 NPI

Jacqueline Nicole Phillips, M.A. CCC-SLP

Speech-Language Pathologist · Tyler, TX

NPI number 1316459415 Active

Practice location

3310 S Broadway Ave Ste 100I
Tyler, TX 75701-7818

Fax (877) 798-4959

Mailing address

5000 Trenton Dr
Tyler, TX 75703-3109

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X113608 (TX)

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 1316459415

Jacqueline Nicole Phillips, M.A. CCC-SLP's National Provider Identifier is 1316459415, issued on Oct 30, 2017. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Tyler, TX. The record was last updated on Feb 26, 2026.