Kelsey Jack, CCC-SLP
Speech-Language Pathologist · Douglasville, GA
Practice location
6078 Dorset Bridge RdDouglasville, GA 30135-6016
- Phone
- (361) 215-4254
NPI record
- NPI
- 1750161808
- Entity type
- Individual (Type 1)
- Enumeration date
- October 4, 2023
- Last updated
- October 4, 2023
- Certified
- October 4, 2023
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X |
012517 | GA |
| Speech-Language Pathologist | 235Z00000X |
30002182 | NC |
About Kelsey Jack
Kelsey Jack, CCC-SLP is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 6078 Dorset Bridge Rd, Douglasville, GA 30135-6016. The NPI number 1750161808 was assigned on October 4, 2023 and the record was last updated on October 4, 2023.
Kelsey Jack lists 2 licenses in the registry: #012517 (GA) for Speech-Language Pathologist; #30002182 (NC) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Kelsey Jack, CCC-SLP?
The NPI number is 1750161808.
What is the phone number of Kelsey Jack?
The phone number listed for the practice location is (361) 215-4254.
Where is Kelsey Jack located?
6078 Dorset Bridge Rd, Douglasville, GA 30135-6016.
What is the taxonomy code for Kelsey Jack?
The primary taxonomy code is 235Z00000X – Speech-Language Pathologist; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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