Individual provider · Type 1 NPI

Jackie Long, M.S. CCC-SLP

Speech-Language Pathologist · Farmington, NM

NPI number 1689405524 Active

Practice location

3401 E 30th St
Farmington, NM 87402-8805

Call (505) 599-8617 Map

Fax (855) 290-2205

Mailing address

4623 Balboa Park Loop
Bradenton, FL 34211-4962

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XSAH-2024-0179 (NM)

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 1689405524

Jackie Long, M.S. CCC-SLP's National Provider Identifier is 1689405524, issued on Aug 12, 2024. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Farmington, NM. The record was last updated on Aug 12, 2024.