Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alison Brooke Theobald, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1194331504

Alison Brooke Theobald, CCC-SLP is a Speech-Language Pathologist in Jackson, Missouri. Licensed in Missouri. Registered with an NPI since 2020.

Licensed in
MO
In the registry since
2020
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

See every abbreviation used in this directory →

Practice location Address checks out

614 E Adams St
Jackson, MO 63755-2150
Phone: (573) 243-9513
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 2020029626 (MO)

Record details

NPI number1194331504
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedSeptember 21, 2020
Last updated in NPPESOctober 22, 2021
Certification dateOctober 22, 2021

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