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

Angelica Jacques, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1639842115

Angelica Jacques, CCC-SLP is a Speech-Language Pathologist in Redlands, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

10431 Commerce St Ste A
Redlands, CA 92374-0110
Phone: (909) 735-7654
Fax: (909) 342-6411
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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 30982 (CA)

Record details

NPI number1639842115
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedJuly 29, 2021
Last updated in NPPESJuly 29, 2021
Certification dateJuly 29, 2021

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