Individual provider · Type 1 NPI
Jackie Smith
Speech-Language Assistant · Glen Ellyn, IL
NPI number
1952226532
Active
Practice location
2N564 Bernice Ave
Glen Ellyn, IL 60137-2823
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Assistant Primary | 2355S0801X | 217.010815 (IL) |
Speech-Language Assistant: Definition to come...
About NPI 1952226532
Jackie Smith's National Provider Identifier is 1952226532, issued on Aug 12, 2026. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in Glen Ellyn, IL. The record was last updated on Aug 12, 2026.