MARY JANE JACK MSP CCC-SLP
NPI 1144312265
Speech-Language Pathologist in Mt Pleasant, MI

Active since September 28, 2006
1101 HEALTH PROFESSIONS BUILDING, MT PLEASANT, MI 48859(989) 774-7290(989) 774-1891 Get Directions Write a Review

NPPES record last updated: March 4, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary Jane Jack Msp Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY JANE JACK MSP CCC-SLP (NPI 1144312265) is an individual speech-language pathologist provider in Mt Pleasant, Michigan, licensed in Michigan (ASHA 01088409) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1144312265
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMARY JANE JACKCredential: MSP CCC-SLP
Location Address1101 HEALTH PROFESSIONS BUILDINGMt Pleasant, MI 48859-0001
Mailing Address1101 Health Professions BuildingMt Pleasant, MI 48859-0001 · (989) 774-7290 · Fax (989) 774-1891
Fax(989) 774-1891
Sole ProprietorNo
Enumeration DateSeptember 28, 2006
Last NPPES UpdateMarch 4, 2010
NPI 1144312265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in MI · ASHA 01088409
Definition

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, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

1101 HEALTH PROFESSIONS BUILDING, Mt Pleasant, MI 48859

Other Identifiers 2

Other01088409MI · Asha Number
Medicaid40-4683793MI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
1101 HEALTH PROFESSIONS BUILDING
MT PLEASANT, MI 48859
Speech-Language Pathologist
1101 HEALTH PROFESSIONS BUILDING, STE 2186
MT PLEASANT, MI 48859
Audiologist
1101 HEALTH PROFESSIONS BUILDING
MOUNT PLEASANT, MI 48859
Speech-Language Pathologist
1101 HEALTH PROFESSIONS BUILDING
MT PLEASANT, MI 48859
Audiologist
1101 HEALTH PROFESSIONS BUILDING
MT PLEASANT, MI 48859
Speech-Language Pathologist
1101 HEALTH PROFESSIONS BUILDING
MT PLEASANT, MI 48859
Speech-Language Pathologist
1101 HEALTH PROFESSIONS BUILDING
MT PLEASANT, MI 48859
Speech-Language Pathologist
1101 HEALTH PROFESSIONS BUILDING
MT PLEASANT, MI 48859

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Jack's NPI number?

The NPI number for Mary Jack is 1144312265. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Mary Jack located?

Mary Jack practices at 1101 Health Professions Building, Mt Pleasant, MI 48859. The listed phone number is (989) 774-7290.

What is Mary Jack's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Mary Jack was last updated on March 4, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.