JACLYN PARK
NPI 1609189315
Speech-Language Pathologist in Austin, TX

Active since July 22, 2010
4607 MANCHACA RD, AUSTIN, TX 78745(512) 916-1511(512) 916-1532 Get Directions Write a Review

NPPES record last updated: July 22, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jaclyn Park NPPES

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

JACLYN PARK (NPI 1609189315) is an individual speech-language pathologist provider in Austin, Texas, licensed in Texas (105397) and active in the NPI registry since July 2010.

NPPES Registry Identity

NPI1609189315
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameJACLYN PARK
Location Address4607 MANCHACA RDAustin, TX 78745-1607
Mailing Address4607 Manchaca RdAustin, TX 78745-1607 · (512) 916-1511 · Fax (512) 916-1532
Fax(512) 916-1532
Sole ProprietorNo
Enumeration DateJuly 22, 2010
NPI 1609189315 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 TX · 105397
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.
4607 MANCHACA RD, Austin, TX 78745

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.

Physical Therapist
4607 MANCHACA RD
AUSTIN, TX 78745
Physical Therapist
4607 MANCHACA RD
AUSTIN, TX 78745
Occupational Therapist
4607 MANCHACA RD
AUSTIN, TX 78745
Speech-Language Pathologist
4607 MANCHACA RD
AUSTIN, TX 78745
Occupational Therapist
4607 MANCHACA RD
AUSTIN, TX 78745
Occupational Therapist
4607 MANCHACA RD
AUSTIN, TX 78745
Speech-Language Pathologist
4607 MANCHACA RD
AUSTIN, TX 78745
Physical Therapist
4607 MANCHACA RD
AUSTIN, TX 78745

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 Jaclyn Park's NPI number?

The NPI number for Jaclyn Park is 1609189315. It was assigned to this individual provider in the NPPES registry on July 22, 2010.

Where is Jaclyn Park located?

Jaclyn Park practices at 4607 Manchaca Rd, Austin, TX 78745. The listed phone number is (512) 916-1511.

What is Jaclyn Park'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 Jaclyn Park was last updated on July 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.