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ALISON BROOKE THEOBALD CCC-SLP
NPI 1194331504
Speech-Language Pathologist in Jackson, MO

Active since September 21, 2020
614 E ADAMS ST, JACKSON, MO 63755(573) 243-9513 Get Directions Write a Review

NPPES record last updated: October 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 22, 2021, Sep 21, 2020 (2 updates tracked since 2020).

About Alison Brooke Theobald Ccc-slp NPPES

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

ALISON BROOKE THEOBALD CCC-SLP (NPI 1194331504) is an individual speech-language pathologist provider in Jackson, Missouri, licensed in Missouri (2020029626) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1194331504
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameALISON BROOKE THEOBALDCredential: CCC-SLP
Location Address614 E ADAMS STJackson, MO 63755-2150
Mailing Address12110 Clayton RdSaint Louis, MO 63131-2516 · (314) 989-8150
Phone(573) 243-9513
Sole ProprietorNo
Enumeration DateSeptember 21, 2020
Last NPPES UpdateOctober 22, 20212 updates tracked since enumeration
NPPES CertifiedOctober 22, 2021
✔ NPI 1194331504 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 MO · 2020029626
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.
614 E ADAMS ST, Jackson, MO 63755
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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.

LORI OBERMANN
Speech-Language Pathologist
614 E ADAMS ST
JACKSON, MO 63755
Cape Girardeau County (573) 243-9599
JACKSON R-2 SCHOOLS
Local Education Agency (LEA)
614 E ADAMS ST
JACKSON, MO 63755
Cape Girardeau County (573) 243-9501
CASSANDRA BOLLINGER
Speech-Language Pathologist
614 E ADAMS ST
JACKSON, MO 63755
Cape Girardeau County (573) 243-9501
MOLLY MILLER
Speech-Language Pathologist
614 E ADAMS ST
JACKSON, MO 63755
Cape Girardeau County (573) 243-9501
RACHELLE ELISABETH BROSNAN M.S., CCC-SLP
Speech-Language Pathologist
614 E ADAMS ST
JACKSON, MO 63755
Cape Girardeau County (573) 243-9501
CHRISTINE STONE
Occupational Therapist (Pediatrics)
614 E ADAMS ST
JACKSON, MO 63755
Cape Girardeau County (573) 243-9501
KAITLYN FAITH COFFMAN MS, CF-SLP
Speech-Language Pathologist
614 E ADAMS ST
JACKSON, MO 63755
Cape Girardeau County (573) 243-9501
KRISTI J BLACK
Speech-Language Pathologist
614 E ADAMS ST
JACKSON, MO 63755
Cape Girardeau County (573) 243-9501

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 Alison Theobald's NPI number?

The NPI number for Alison Theobald is 1194331504. It was assigned to this individual provider in the NPPES registry on September 21, 2020.

Where is Alison Theobald located?

Alison Theobald practices at 614 E Adams St, Jackson, MO 63755. The listed phone number is (573) 243-9513.

What is Alison Theobald'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 Alison Theobald was last updated on October 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.