MRS. JACKIE LYNN MATHIESEN M.S. CCC-SLP
NPI 1952441602
Speech-Language Pathologist in Avondale, AZ

Active since February 08, 2007
12409 W INDIAN SCHOOL RD STE C306, AVONDALE, AZ 85323(623) 935-6040 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Jackie Lynn Mathiesen M.s. Ccc-slp NPPES

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

MRS. JACKIE LYNN MATHIESEN M.S. CCC-SLP (NPI 1952441602) is an individual speech-language pathologist provider in Avondale, Arizona, licensed in Arizona (SLP4480) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1952441602
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. JACKIE LYNN MATHIESENCredential: M.S. CCC-SLP
Location Address12409 W INDIAN SCHOOL RD STE C306Avondale, AZ 85323-9508
Mailing Address14408 W Desert Cove RdSurprise, AZ 85379-4334
Sole ProprietorNo
Enumeration DateFebruary 8, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1952441602 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 AZ · SLP4480
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.

12409 W INDIAN SCHOOL RD STE C306, Avondale, AZ 85323

Other Names 1

Former Name (1)Miss Jackie Lynn Johnston M.s. Ccc-slp

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 Mathiesen's NPI number?

The NPI number for Jackie Mathiesen is 1952441602. It was assigned to this individual provider in the NPPES registry on February 8, 2007. The provider is also known as Miss Jackie Lynn Johnston M.S. Ccc-Slp.

Where is Jackie Mathiesen located?

Jackie Mathiesen practices at 12409 W Indian School Rd Ste C306, Avondale, AZ 85323. The listed phone number is (623) 935-6040.

What is Jackie Mathiesen'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 Mathiesen was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.