Individual provider · Type 1 NPI

Jackie Lynn Mathiesen, M.S. CCC-SLP

Speech-Language Pathologist · Avondale, AZ

NPI number 1952441602 Active

Practice location

12409 W Indian School Rd Ste C306
Avondale, AZ 85323-9508

Call (623) 935-6040 Map

Mailing address

14408 W Desert Cove Rd
Surprise, AZ 85379-4334

Specialties and licenses

Taxonomy	Code	License
Speech-Language Pathologist Primary	235Z00000X	SLP4480 (AZ)

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 1952441602

Jackie Lynn Mathiesen, M.S. CCC-SLP's National Provider Identifier is 1952441602, issued on Feb 8, 2007. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Avondale, AZ. The record was last updated on Jul 8, 2007.