Whalio Doctors

NPI 1033695606

Kelly Jaksa

Practitioner Speech-Language Pathologist Flint, MI

Practice location

Address
1085 S Linden Rd STE 100, Flint, MI 48532-3416
Phone
(810) 262-2007
Mailing address
2179 Fox Hill Dr APT 11, Grand Blanc, MI 48439-5232

Registered specialties

Speech-Language Pathologist Primary
Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 7101005864 (MI)

Registry record

NPI
1033695606
Entity type
Individual
Sex (as registered)
Female
NPI issued
17 Jul 2018
Record last updated
17 Jul 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.