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

Jaclyn Nicole Bougades

Individual provider Speech-Language Pathologist · NPI 1013741917

Jaclyn Nicole Bougades is a Speech-Language Pathologist in Montclair, New Jersey. Licensed in New Jersey. Registered with an NPI since 2024.

Licensed in
NJ
In the registry since
2024

Practice location Address checks out

17 Watchung Plz
Montclair, NJ 07042-4117
Phone: (973) 744-0804
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 TL-4574 (NJ)

Record details

NPI number1013741917
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 2, 2024
Last updated in NPPESSeptember 2, 2024
Certification dateSeptember 1, 2024

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