Individual provider · Type 1 NPI

Annie Jack

Speech-Language Pathologist · Independence, MO

NPI number 1669861985 Active

Practice location

3980 E Jackson Dr
Independence, MO 64057-2205

Mailing address

703 NW Par Dr
Grain Valley, MO 64029-7347

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X2012011146 (MO)

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 1669861985

Annie Jack's National Provider Identifier is 1669861985, issued on Jan 12, 2015. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Independence, MO. The record was last updated on Jan 12, 2015.