National Provider Identifier
Jacquelyn Mary Sackett, SPEECH LANGUAGE PATH
Jacquelyn Mary Sackett, SPEECH LANGUAGE PATH is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Silver Creek, NY and a listed phone number of (716) 934-4274.
Profile Overview
- NPI
- 1962629550
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- April 18, 2007
- Last Updated
- July 08, 2007
Practice Location
- 87 Main Street
- Silver Creek, NY 14136
Phone: (716) 934-4274
Mailing Address
- 4 Glenwood Avenue
- Silver Creek, NY 14136
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1962629550
- Entity Type
- Individual
- Last Name
- Sackett
- First Name
- Jacquelyn
- Middle Name
- Mary
- Name Prefix
- MS.
- Credential
- SPEECH LANGUAGE PATH
- Mailing Street Address
- 4 Glenwood Avenue
- Mailing City
- Silver Creek
- Mailing State
- NY
- Mailing ZIP Code
- 14136
- Mailing Country
- US
- Mailing Phone
- (716) 934-2597
- Practice Street Address
- 87 Main Street
- Practice City
- Silver Creek
- Practice State
- NY
- Practice ZIP Code
- 14136
- Practice Country
- US
- Practice Phone
- (716) 934-4274
- Practice Fax
- (716) 934-9129
- Enumeration Date
- April 18, 2007
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)