Individual provider · Type 1 NPI

Michael Thomas Jacezko

Speech-Language Pathologist · Seattle, WA

NPI number 1942188735 Active

Practice location

1660 S Columbian Way
Seattle, WA 98108-1532

Mailing address

430 12th Ave E Apt 207
Seattle, WA 98102-5149

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X70012996 (WA)

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 1942188735

Michael Thomas Jacezko's National Provider Identifier is 1942188735, issued on Aug 21, 2025. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Seattle, WA. The record was last updated on Aug 21, 2025.