National Provider Identifier
Jacqueline S Gould, CCC-SLP
Jacqueline S Gould, CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Ithaca, NY and a listed phone number of (480) 907-4547.
Profile Overview
- NPI
- 1447561030
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- June 29, 2010
- Last Updated
- November 18, 2011
Practice Location
- 104 Happy Ln
- Ithaca, NY 14850-1304
Phone: (480) 907-4547
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1447561030
- Entity Type
- Individual
- Last Name
- Gould
- First Name
- Jacqueline
- Middle Name
- S
- Name Prefix
- MS.
- Credential
- CCC-SLP
- Mailing Street Address
- 104 Happy Ln
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1304
- Mailing Country
- US
- Mailing Phone
- (480) 907-4547
- Practice Street Address
- 104 Happy Ln
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1304
- Practice Country
- US
- Practice Phone
- (480) 907-4547
- Enumeration Date
- June 29, 2010
- Last Updated
- November 18, 2011
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)