Individual provider · Type 1 NPI

Jackie Pelfrey

Speech-Language Pathologist · Tyler, TX

NPI number 1639919780 Active

Practice location

2055 W Grande Blvd
Tyler, TX 75703-0526

Mailing address

2051 W Cumberland Rd Apt 906
Tyler, TX 75703-7856

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XNone listed

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 1639919780

Jackie Pelfrey's National Provider Identifier is 1639919780, issued on May 28, 2024. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Tyler, TX. The record was last updated on Jun 11, 2025.