Jazlyn Hacker
Individual provider Active NPI Speech-Language Pathologist · London, KY
NPI 1649013145 · NPPES record last updated Jun 13, 2024
Key facts
- NPI
- 1649013145
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 292963 (KY)
- Practice address
- 181 Old Whitley Rd
London, KY 40744-8211 - Phone
- (606) 330-0223
- Fax
- (606) 330-0228
- NPI assigned
- Jun 13, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 292963 | KY | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 292963 | KY | Yes |
Addresses
Primary practice location
181 Old Whitley Rd
London, KY 40744-8211
Mailing address
181 Old Whitley Rd
London, KY 40744-8211
Phone (606) 330-0223
Other providers in London, KY
- Brittany Griffin
- Kali Gupton
- H2 Rehabilitation Services of Kentucky, LLC
- Ashley Nicole Hacker
- Deborah D. Hacker
- Matthew Thomas Hacker
- Rachel Fawbush Hacker
- Alisha Hail
- Melissa Marie Hale
- Linda Fay Hall
All providers in London, KY · Speech-Language Pathologist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.