JACQUELYN CANNON
NPI 1225996291
Speech-Language Pathologist in Chubbuck, ID

Q: What is the provider's specialty?

The provider's specialty is Speech-Language Pathologist with taxonomy code 235Z00000X.

Active since January 09, 2026

240 W BURNSIDE AVE STE D, CHUBBUCK, ID 83202(208) 904-1112 Get Directions Write a Review

NPPES record last updated: January 9, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jacquelyn Cannon NPPES

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

JACQUELYN CANNON (NPI 1225996291) is an individual speech-language pathologist provider in Chubbuck, Idaho, licensed in Idaho (5071179) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1225996291

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameJACQUELYN CANNON

Location Address240 W BURNSIDE AVE STE DChubbuck, ID 83202-4703

Mailing Address240 W Burnside Ave Ste DChubbuck, ID 83202-4703

Phone(208) 904-1112

Sole ProprietorYes

Enumeration DateJanuary 9, 2026

NPPES CertifiedJanuary 9, 2026

✔ NPI 1225996291 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 ID · 5071179

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.

240 W BURNSIDE AVE STE D, Chubbuck, ID 83202

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