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

Jaclyn Marie Watson, MACCC-SLP

Individual provider Speech-Language Pathologist · NPI 1578006052

Jaclyn Marie Watson, MACCC-SLP is a Speech-Language Pathologist in Fresh Meadows, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2016

Practice location Address checks out

5637 188th St
Fresh Meadows, NY 11365-2230
Phone: (718) 357-4650
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 023617 (NY)

Record details

NPI number1578006052
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-SLP
Sole proprietorYes
NPI enumeratedDecember 1, 2016
Last updated in NPPESDecember 1, 2016

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