Individual provider · Type 1 NPI

Amy Thistle Tackett, CCC-SLP

Speech-Language Pathologist · Marina, CA

NPI number 1831021971 Active

Practice location

298 Patton Pkwy
Marina, CA 93933-6007

Mailing address

231 Mcculloch Cir
Marina, CA 93933-2404

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X21919 (CA)

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 1831021971

Amy Thistle Tackett, CCC-SLP's National Provider Identifier is 1831021971, issued on Jun 2, 2026. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Marina, CA. The record was last updated on Jun 2, 2026.