JACKIE LONG M.S. CCC-SLP - NPI 1689405524 - Speech-Language Pathologist in Farmington, NM

Q: What is Jackie Long's NPI number?

The NPI number for Jackie Long is 1689405524. It was assigned to this individual provider in the NPPES registry on August 12, 2024.

Q: What is Jackie Long's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jackie Long was last updated on August 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.

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About Jackie Long M.s. Ccc-slp NPPES

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

JACKIE LONG M.S. CCC-SLP (NPI 1689405524) is an individual speech-language pathologist provider in Farmington, New Mexico, licensed in New Mexico (SAH-2024-0179) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1689405524

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameJACKIE LONGCredential: M.S. CCC-SLP

Location Address3401 E 30TH STFarmington, NM 87402-8805

Mailing Address4623 Balboa Park LoopBradenton, FL 34211-4962 · (806) 440-1663

Phone(505) 599-8617

Fax(855) 290-2205

Sole ProprietorYes

Enumeration DateAugust 12, 2024

NPPES CertifiedAugust 12, 2024

✔ NPI 1689405524 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 NM · SAH-2024-0179

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.

3401 E 30TH ST, Farmington, NM 87402

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Other Providers at the Same Location NPPES 11

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

HAILEY BROOKE WETHINGTON

Speech-Language Pathologist