Individual provider · Type 1 NPI

Jaqueline Sofia Ceballos

Speech-Language Pathologist · Lawrenceville, GA

NPI number 1831053511 Active

Practice location

1130 Hurricane Shoals Rd NE Ste 2300
Lawrenceville, GA 30043-4871

Fax (478) 575-2359

Mailing address

625 Clearwater Pl
Lawrenceville, GA 30044-6834

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XSLPA000601 (GA)

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 1831053511

Jaqueline Sofia Ceballos's National Provider Identifier is 1831053511, issued on Dec 16, 2025. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Lawrenceville, GA. The record was last updated on Dec 16, 2025.