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

Jaclyn Favale

Individual provider Speech-Language Pathologist · NPI 1336764786

Jaclyn Favale is a Speech-Language Pathologist in Leesburg, Virginia. Licensed in New York and Virginia. Registered with an NPI since 2020.

Licensed in
NY, VA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

601 Catoctin Cir NE
Leesburg, VA 20176-4964
Phone: (347) 556-3920
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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 2202010106 (VA)
Speech-Language Pathologist Taxonomy 235Z00000X (NY)

Record details

NPI number1336764786
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 11, 2020
Last updated in NPPESJuly 18, 2022
Certification dateJuly 18, 2022
Mailing address60 Chatwell Ter, Charles Town, WV 25414-1212

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