MARY GRACE JAQUES M.ED., CCC-SLP
NPI 1710544119
Speech-Language Pathologist in Jefferson, GA

Active since May 22, 2019
40 PROFESSIONAL DR, JEFFERSON, GA 30549(114) 170-6367 Get Directions Write a Review

NPPES record last updated: May 22, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Grace Jaques M.ed., Ccc-slp NPPES

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

MARY GRACE JAQUES M.ED., CCC-SLP (NPI 1710544119) is an individual speech-language pathologist provider in Jefferson, Georgia, licensed in (SLP010476) and active in the NPI registry since May 2019. She maintains a secondary practice location in Athens.

NPPES Registry Identity

NPI1710544119
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMARY GRACE JAQUESCredential: M.ED., CCC-SLP
Location Address40 PROFESSIONAL DRJefferson, GA 30549-6333
Mailing Address475 Baldwin St Apt 14Athens, GA 30605-5152 · (706) 399-1865
Sole ProprietorNo
Enumeration DateMay 22, 2019
NPI 1710544119 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 · SLP010476
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.
40 PROFESSIONAL DR, Jefferson, GA 30549

Secondary Practice Location 1

Location 1280 Gaines School RdAthens, GA 30605-3156 · Phone (706) 548-7296 ext. 29416

Other Providers at the Same Location NPPES 3

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

Occupational Therapist
40 PROFESSIONAL DR
JEFFERSON, GA 30549
Physical Therapist (Pediatrics)
40 PROFESSIONAL DR
JEFFERSON, GA 30549
Occupational Therapist (Pediatrics)
40 PROFESSIONAL DR
JEFFERSON, GA 30549

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 Jaques's NPI number?

The NPI number for Mary Jaques is 1710544119. It was assigned to this individual provider in the NPPES registry on May 22, 2019.

Where is Mary Jaques located?

Mary Jaques practices at 40 Professional Dr, Jefferson, GA 30549. The listed phone number is (114) 170-6367.

What is Mary Jaques'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 Jaques was last updated on May 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.