JACKIE DIETZ
NPI 1881938397
Speech-Language Pathologist in Gaylord, MN

Active since November 21, 2012

NPPES record last updated: November 21, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jackie Dietz NPPES

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

JACKIE DIETZ (NPI 1881938397) is an individual speech-language pathologist provider in Gaylord, Minnesota, licensed in Minnesota (8784) and active in the NPI registry since November 2012.

NPPES Registry Identity

NPI1881938397
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameJACKIE DIETZ
Location Address640 3RD STGaylord, MN 55334-2297
Mailing Address640 3rd StGaylord, MN 55334-2297 · (507) 237-8730
Sole ProprietorYes
Enumeration DateNovember 21, 2012
NPI 1881938397 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 MN · 8784
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.

640 3RD ST, Gaylord, MN 55334

Other Providers at the Same Location NPPES 17

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

Skilled Nursing Facility
640 3RD ST
GAYLORD, MN 55334
Physical Therapist
640 3RD ST
GAYLORD, MN 55334
Occupational Therapist
640 3RD ST
GAYLORD, MN 55334
Occupational Therapy Assistant
640 3RD ST
GAYLORD, MN 55334
Physical Therapy Assistant
640 3RD ST
GAYLORD, MN 55334
Speech-Language Pathologist
640 3RD ST
GAYLORD, MN 55334
Occupational Therapist
640 3RD ST
GAYLORD, MN 55334
Skilled Nursing Facility
640 3RD ST
GAYLORD, MN 55334

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 Jackie Dietz's NPI number?

The NPI number for Jackie Dietz is 1881938397. It was assigned to this individual provider in the NPPES registry on November 21, 2012.

Where is Jackie Dietz located?

Jackie Dietz practices at 640 3rd St, Gaylord, MN 55334. The listed phone number is (507) 237-8730.

What is Jackie Dietz'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 Jackie Dietz was last updated on November 21, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.