JACKIE LONG, M.S. CCC-SLP
Speech-Language Pathologist
Active
Individual
NPI: 1689405524
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes | SAH-2024-0179 (NM) |
Frequently Asked Questions
NPI 1689405524 is the National Provider Identifier for JACKIE LONG, M.S. CCC-SLP, a Speech-Language Pathologist provider located in Farmington, NM. This NPI was enumerated on August 12, 2024.
JACKIE LONG, M.S. CCC-SLP practices at 3401 E 30TH ST, Farmington, NM 87402.
Quick Facts
- NPI
- 1689405524
- Type
- Individual
- Enumerated
- Aug 12, 2024
- Last Updated
- Aug 12, 2024
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