NPI 1144312265

Mary Jane Jack, MSPCCCSLP

Practitioner Speech-Language Pathologist Mt Pleasant, MI

Practice location

Address: 1101 Health Professions Building, Mt Pleasant, MI 48859-0001
Phone: (989) 774-7290
Fax: (989) 774-1891

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence ASHA 01088409 (MI)

Other Speech-Language Pathologist providers in Michigan →

Registry record

NPI: 1144312265
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Sep 2006
Record last updated: 4 Mar 2010

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.