NPI 1750002879 · live from the CMS NPI Registry
Jaclyn Carr
Speech-Language Pathologist, in Wilmington, DE. National Provider Identifier 1750002879, active.
NPI record
| NPI | 1750002879 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 1311 Brandywine Blvd, Wilmington, DE 19809 |
| Practice phone | 302-529-3118 |
| Enumerated | September 7, 2022 |
| Last updated | September 7, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | O1-0001772 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.